Individual provider Active NPI

Kimberly Ann McCane, L.M.S.W

  • Clinical Social Worker
  • Big Rapids, MI
National Provider Identifier
1790040384
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094356 Issued in MI
Practice address
730 Water Tower Rd
Big Rapids, MI 49307-2160
Phone
(231) 527-7150
Fax
(231) 796-4109
NPI assigned
Jul 10, 2012
Last updated
Oct 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801094356 MI Primary

Addresses

Primary practice location

730 Water Tower Rd
Big Rapids, MI 49307-2160

Mailing address

520 Cobb St
Cadillac, MI 49601-2588
Phone (231) 876-6527

Other practice location 1

1035 E Wilcox Ave
White Cloud, MI 49349-8794
Phone (231) 689-5943

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberly.mccane.p1@direct.nextgenshare.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141028001320 MI Practitioner - Clinical Social Worker 9739300187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baldwin Family Health CareGroup PAC ID 1153215413, 35 clinicians

Practice addresses (Care Compare)

1035 E Wilcox Ave
White Cloud, MI 49349-8794
Phone (231) 689-5943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801094356MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Family Health Care CurrentSince Sep 17, 2014 Accepting new patients
Baldwin Family Health Care CurrentSince Sep 17, 2014 Accepting new patients
Baldwin Family Health Care Current Accepting new patients

Locations

1615 Michigan Ave
Baldwin, MI 49304
Phone (231) 745-2781

730 Water Tower Rd
Big Rapids, MI 49307
Phone (231) 527-7150

520 Cobb St
Cadillac, MI 49601
Phone (231) 775-6521

Interoperability endpoints

  • Direct secure messaging: kimberly.mccane.p1@direct.bfhc.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1790040384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012588",
            "telephone_number": "231-876-6527",
            "fax_number": "231-876-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 WATER TOWER RD",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072160",
            "telephone_number": "231-527-7150",
            "fax_number": "231-796-4109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 E Wilcox Ave",
            "address_purpose": "LOCATION",
            "city": "White Cloud",
            "state": "MI",
            "postal_code": "493498794",
            "country_code": "US",
            "telephone_number": "231-689-5943",
            "fax_number": "231-689-1590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCANE",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "L.M.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.mccane.p1@direct.nextgenshare.com",
            "affiliation": "N",
            "address_1": "730 Water Tower Rd",
            "city": "Big Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493072160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Big Rapids, MI

Sources for this page

Verify at the official NPI Registry.