Kathryn Mary Pearch, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801090327 Issued in MI

Practice address

40435 Delta Dr
Northville, MI 48168-3237

Phone

(248) 761-2154

NPI assigned

Aug 8, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• 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

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1760814008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40435 DELTA DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481683237",
            "telephone_number": "248-761-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40435 DELTA DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481683237",
            "telephone_number": "248-761-2154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15700 W 10 Mile Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480752100",
            "country_code": "US",
            "telephone_number": "248-241-6772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARCH",
        "first_name": "KATHRYN",
        "middle_name": "MARY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "6801090327",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sweta Kamal Patel
• Yashodhara Vivek Patil, DDS
• Denise Patterson, P.T.
• Paul W. Clancy, D.D.S., P.C.
• Peak Therapy LLC
• Brian Peck, PH.D., LP
• Pediatric Special Care, Inc. (Aveanna)
• Gavin Peoples, DPT
• Tara Perez
• Kristin Marie Periard, LMSW

• Clinical Social Worker in Northville, MI
• Providers in Northville, 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 Mar 2, 2022; 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.