Joylynn Killgore, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801081601 Issued in MI

Practice address

1055 Medical Park Dr SE
Grand Rapids, MI 49546-3607

Phone

(616) 977-0794

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Joylynn Lobbezoo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Gerontology Network

  • Geriatric Psychiatry Physician
  • Grand Rapids, MI
  • NPI 1104952332

  Clinical

  NPD (past)
• Gerontology Network

  • Geriatric Psychiatry Physician
  • Adrian, MI
  • NPI 1578691432

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1851420855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16350 CEDAR SPRINGS AVE",
            "city": "SAND LAKE",
            "state": "MI",
            "postal_code": "493439466",
            "telephone_number": "616-696-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 MEDICAL PARK DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463607",
            "telephone_number": "616-977-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLGORE",
        "first_name": "JOYLYNN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801081601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYLYNN",
            "last_name": "LOBBEZOO",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andrea Kilborn
• Cherono Kilel
• Kimberly Lynn Kiley, LPN
• Amy Killeen, M.D.
• Meghan Kathleen Killeen, MS, CCC-SLP
• Kerby Keylon Killingham
• Juna Kay Killion, LMSW
• Matthew Killmer, DO
• Autumn Rae Nunn Killop, OD, MPH
• Kilmartin Counseling Services

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.