Individual provider Active NPI

Laurie B Kimmel, LMSW

  • Social Worker
  • West Bloomfield, MI
National Provider Identifier
1831129832
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801057192 Issued in MI
Practice address
6960 Orchard Lake Rd
Suite 100
West Bloomfield, MI 48322-4515
Phone
(248) 626-1500
Fax
(248) 526-1551
NPI assigned
Jul 4, 2006
Last updated
Aug 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801057192 MI Primary

Addresses

Primary practice location

6960 Orchard Lake Rd
Suite 100
West Bloomfield, MI 48322-4515

Mailing address

6960 Orchard Lake Rd
Suite 100
West Bloomfield, MI 48322-4515
Phone (248) 626-1500

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
I20040526000707 MI Practitioner - Clinical Social Worker 1951382977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5596 Fox Hunt LN
West Bloomfield, MI 48322-1639
Phone (248) 660-4637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates Inc CurrentSince Aug 14, 2012 Accepting new patients
Laurie B. Kimmel, LMSW, Acsw, PLLC CurrentSince Sep 12, 2012 Accepting new patients
Counseling Associates, Incorporated Social Worker Past Accepting new patients
Carol a. Roekle, M.D., P.C. Past Accepting new patients

Organizations & group practices 4

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1831129832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6960 ORCHARD LAKE RD",
            "address_2": "SUITE 100",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224515",
            "telephone_number": "248-626-1500",
            "fax_number": "248-626-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 ORCHARD LAKE RD",
            "address_2": "SUITE 100",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224515",
            "telephone_number": "248-626-1500",
            "fax_number": "248-526-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "LAURIE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801057192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.