Active NPI
Kimberly Ziebarth
- Social Worker
- Lowell, MI
National Provider Identifier
1770065005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 11555 W Grand River Ave
Lowell, MI 49331-8464 - Phone
- (616) 888-1120
- NPI assigned
- Sep 4, 2018
- Last updated
- Jun 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary |
Addresses
Primary practice location
11555 W Grand River Ave
Lowell, MI 49331-8464
Mailing address
480 Pioneer TRL
Cedar Springs, MI 49319-8135
Phone (630) 432-9616
Other practice location 1
1115 Ball Ave NE
Grand Rapids, MI 49505-5904
Phone (616) 451-3001
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
215 E Big Beaver Rd
Suite 100
Troy, MI 48083-1216
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tahoma Enterprises LLC | Social Worker | Past | Accepting new patients |
| Life Journey PLLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Embrace Change Therapy
- Community/Behavioral Health Agency
- Troy, MI
- NPI 1285125823
-
- Psychologist
- Grand Rapids, MI
- NPI 1538531017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1770065005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 PIONEER TRL",
"city": "CEDAR SPRINGS",
"state": "MI",
"postal_code": "493198135",
"telephone_number": "630-432-9616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11555 W GRAND RIVER AVE",
"city": "LOWELL",
"state": "MI",
"postal_code": "493318464",
"telephone_number": "616-888-1120"
}
],
"practiceLocations": [
{
"address_1": "1115 Ball Ave NE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495055904",
"country_code": "US",
"telephone_number": "616-451-3001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIEBARTH",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-04",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.