Active NPI
Paulette Levy Banghart, LMSW
- Clinical Social Worker
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801089145
- 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
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 | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801089145 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalamazoo County Community Mental Health Authority | Current | Accepting new patients | |
| Ascension Medical Group Promed | Current | Accepting new patients | |
| Ascension Medical Group Promed | Current | Accepting new patients | |
| Promed Healthcare | Current | Accepting new patients | |
| Kalamazoo County Community Mental Health Authority | Current | Accepting new patients | |
| Western Michigan University School of Medicine | Past | Accepting new patients | |
| Community AIDS Resource and Education Services of Southwest Michigan | Clinical | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kalamazoo, MI
- NPI 1710066253
-
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
-
- Counselor
- Portage, MI
- NPI 1063542165
-
dba Integrated Services of Kalamazoo
- Community/Behavioral Health Agency
- Kalamazoo, MI
- NPI 1477225506
-
dba Borgess Women's Health
- Rural Health Clinic/Center
- Plainwell, MI
- NPI 1487708830
-
dba Pioneer Wellness Network
- Clinical Social Worker
- Kalamazoo, MI
- NPI 1851590855
-
dba WMed Health
- Multi-Specialty Clinic/Center
- Kalamazoo, MI
- NPI 1316212343
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.