Kathy Joy Emans, MSW

Individual provider Active NPI Clinical Social Worker · Cassopolis, MI

NPI 1841293230 · NPPES record last updated Dec 6, 2013

Key facts

NPI
1841293230
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6801035927 (MI)
Practice address
960 E. State
Cassopolis, MI 49031
Phone
(269) 445-2451
Fax
(269) 445-3216
NPI assigned
May 31, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6801035927MIMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801035927 MI Yes

Addresses

Primary practice location

960 E. State
Cassopolis, MI 49031

Mailing address

60640 Woodland Dr
Dowagiac, MI 49047-9711
Phone (574) 220-3453

Other providers in Cassopolis, MI

All providers in Cassopolis, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.