Active NPI
Kimberly Jovanovski, LMSW
- Clinical Social Worker
- Detroit, MI
National Provider Identifier
1821547332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801106525
- Practice address
- 1423 Field St
Detroit, MI 48214-2321 - Phone
- (313) 924-7860
- Fax
- (313) 924-0350
- NPI assigned
- Sep 26, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801101026 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | 6801106525 | MI | Primary |
Addresses
Primary practice location
1423 Field St
Detroit, MI 48214-2321
Mailing address
20606 Ridgemont Rd
Harper Woods, MI 48225-1165
Phone (313) 924-7860
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1413 Field St
Detroit, MI 48214-2321
Phone (313) 347-2070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801101026 | MI | MD | Social Worker |
| 6801106525 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult Well Being Services | Current | Accepting new patients | |
| All Well-Being Services | Current | Accepting new patients |
Locations
1413 Field St
Detroit, MI 48214
Phone (313) 347-2070
1423 Field St
Detroit, MI 48214
Phone (313) 347-2070
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.
-
- Psychiatry Physician
- Detroit, MI
- NPI 1679663546
-
- Case Management Agency
- Detroit, MI
- NPI 1023353984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1821547332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20606 RIDGEMONT RD",
"city": "HARPER WOODS",
"state": "MI",
"postal_code": "482251165",
"telephone_number": "313-924-7860",
"fax_number": "313-924-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1423 FIELD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482142321",
"telephone_number": "313-924-7860",
"fax_number": "313-924-0350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOVANOVSKI",
"first_name": "KIMBERLY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-26",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801101026",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801106525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.