Karen Jane Willis, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801085204 Issued in MI

Practice address

2 Crocker Blvd
Suite 101
Mt Clemens, MI 48043-2558

Phone

(586) 468-2266

Fax

(586) 468-4505

NPI assigned

Apr 18, 2007

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

Other names 1

• Ms. Karen Jane Landosky Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mielke & Weeks, P. C.

  • Psychologist
  • Rochester Hills, MI
  • NPI 1144398504
  Medicare reassignment NPD
• River'S Bend, P.C.

  • Addiction (Substance Use Disorder) Counselor
  • Troy, MI
  • NPI 1265520209
  Medicare reassignment NPD
• Comprehensive Youth Services Inc

  • Community/Behavioral Health Agency
  • Mount Clemens, MI
  • NPI 1750400065
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1760608517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 WOODCHASE CT",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483107118",
            "telephone_number": "248-928-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CROCKER BLVD",
            "address_2": "SUITE 101",
            "city": "MT CLEMENS",
            "state": "MI",
            "postal_code": "480432558",
            "telephone_number": "586-468-2266",
            "fax_number": "586-468-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "KAREN",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "LANDOSKY",
            "middle_name": "JANE",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Avarie Kirstin Willette
• William B Halacoglu DO PC
• Cheryl Williams
• Nicole Cherie Williams, NPC
• Myele Williamson
• Miranda L Willis
• Michael C Willoughby, D.O.
• Dawn Winchell
• Eden Ray Winden
• Chris Patrick Winn, D.C.

• Clinical Social Worker in Mt Clemens, MI
• Providers in Mt Clemens, 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 Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.