Kacey Pepin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801102720 Issued in MI

Practice address

3027 Wildwood Ave
Jackson, MI 49202-3938

Phone

(517) 768-1907

NPI assigned

Feb 24, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Catholic Charities of Jackson, Lenawee and Hillsdale Counties

  • Community/Behavioral Health Agency
  • Jackson, MI
  • NPI 1689628190
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1750915229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 VERNON AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489104635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 WILDWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023938",
            "telephone_number": "517-768-1907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3425 Francis St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492035052",
            "country_code": "US",
            "telephone_number": "517-782-2551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEPIN",
        "first_name": "KACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801102720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dirk Peeters, PA-C
• Randoplh Penn, D.C.
• Shannon Penn, PHARMD
• Manny Isiah Pennell
• Angela Pensyl, LMSW
• Jessica Pepper
• Damodharan Peram
• Niasia Sade-Janai Perdue
• Bryan M Pereira, M.D.
• Alejandra N/a Perez, DO

• Clinical Social Worker in Jackson, MI
• Providers in Jackson, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.