Active NPI
Kathy Samir Chebli, LMSW
- Clinical Social Worker
- Lansing, MI
National Provider Identifier
1801943162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801085790
- Practice address
- 420 S Waverly Rd
Ste 4
Lansing, MI 48917-3632 - Phone
- (517) 708-8215
- Fax
- (517) 708-8223
- NPI assigned
- Jan 5, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801085790 | MI | Primary |
Addresses
Primary practice location
420 S Waverly Rd
Ste 4
Lansing, MI 48917-3632
Mailing address
5022 Rifle River TRL
Alger, MI 48610-9327
Phone (989) 516-4317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801943162 | Medicaid | MI |
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, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
420 S Waverly Rd
Suite 4
Lansing, MI 48917-3632
Phone (517) 708-8215
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Beginning Therapy Services, LLC | Clinical | Current | Accepting new patients |
| Leslie G Macauley MD PC | Clinical | Past | Accepting new patients |
Locations
420 S Waverly Rd
Ste 4
Lansing, MI 48917
Phone (517) 708-8215
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Lansing, MI
- NPI 1225373475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495065600000",
"number": "1801943162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5022 RIFLE RIVER TRL",
"city": "ALGER",
"state": "MI",
"postal_code": "486109327",
"telephone_number": "989-516-4317",
"fax_number": "989-345-5803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 S WAVERLY RD",
"address_2": "STE 4",
"city": "LANSING",
"state": "MI",
"postal_code": "489173632",
"telephone_number": "517-708-8215",
"fax_number": "517-708-8223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEBLI",
"first_name": "KATHY",
"middle_name": "SAMIR",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2017-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801085790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801943162",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; 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.