Individual provider Active NPI

Paulette Levy Banghart, LMSW

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1831398379
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801089145 Issued in MI
Practice address
1722 Shaffer St
Kalamazoo, MI 49048-1633
Phone
(296) 226-5000
NPI assigned
Jul 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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 6801089145 MI Primary

Addresses

Primary practice location

1722 Shaffer St
Kalamazoo, MI 49048-1633

Mailing address

4620 Dover Hills Dr Apt 105
Kalamazoo, MI 49009-1484
Phone (296) 353-7035

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
I20070906000562 MI Practitioner - Clinical Social Worker 8729171764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

418 W Kalamazoo Ave
Kalamazoo, MI 49007-3334
Phone (269) 373-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801089145MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kalamazoo County Community Mental Health Authority CurrentSince Dec 1, 2022 Accepting new patients
Ascension Medical Group Promed CurrentSince Jul 1, 2009 Accepting new patients
Ascension Medical Group Promed Current Accepting new patients
Promed Healthcare CurrentSince Jul 1, 2009 Accepting new patients
Kalamazoo County Community Mental Health Authority CurrentSince Dec 1, 2022 Accepting new patients
Western Michigan University School of Medicine Past Accepting new patients
Community AIDS Resource and Education Services of Southwest Michigan Clinical PastSince May 10, 2022 Accepting new patients

Locations

418 W Kalamazoo Ave
Kalamazoo, MI 49007
Phone (269) 373-6000

2030 Portage St
Kalamazoo, MI 49001
Phone (269) 553-7132

615 E Crosstown Pkwy
Kalamazoo, MI 49001
Phone (269) 373-6000

5943 Stadium Dr
Ste 3
Kalamazoo, MI 49009
Phone (269) 226-8315

1722 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5600

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

7895 Currier Dr
Portage, MI 49002
Phone (269) 321-7120

Organizations & group practices 7

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": "1184371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1831398379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 DOVER HILLS DR APT 105",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091484",
            "telephone_number": "296-353-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 SHAFFER ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481633",
            "telephone_number": "296-226-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGHART",
        "first_name": "PAULETTE",
        "middle_name": "LEVY",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-14",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.