Individual provider Active NPI

Karla J Block, LMSW

  • Social Worker
  • East Lansing, MI
National Provider Identifier
1811135486
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801085393 Issued in MI
Practice address
411 W Lake Lansing Rd Ste C120
East Lansing, MI 48823-8483
Phone
(517) 214-9154
NPI assigned
Feb 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801085393 MI
Social Worker 104100000X 6801085393 MI Primary

Addresses

Primary practice location

411 W Lake Lansing Rd Ste C120
East Lansing, MI 48823-8483

Mailing address

325 Midvale Ave
Lansing, MI 48912-4138
Phone (517) 214-9154

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
I20220729001477 MI Practitioner - Clinical Social Worker 4880076447 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801085393MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Karla J Block LLC Social Worker CurrentSince Jan 2, 2023 Accepting new patients
Jonathan M. Blair PHD, PLLC PastSince Jul 1, 2022 Accepting new patients

Locations

411 W Lake Lansing Rd
Ste C120
East Lansing, MI 48823
Phone (517) 214-9154

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.

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1811135486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MIDVALE AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124138",
            "telephone_number": "517-214-9154",
            "fax_number": "517-622-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W LAKE LANSING RD STE C120",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238483",
            "telephone_number": "517-214-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "KARLA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-04",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085393",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801085393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.