Active NPI
Kaitlin Paxton Ward, PHD, LCSW
- Social Worker
- Ann Arbor, MI
National Provider Identifier
1861962672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801103585
- Practice address
- 1785 W Stadium Blvd Ste 203C
Ann Arbor, MI 48103-5291 - Phone
- (734) 913-1093
- NPI assigned
- Dec 5, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801103585 | MI | Primary |
Addresses
Primary practice location
1785 W Stadium Blvd Ste 203C
Ann Arbor, MI 48103-5291
Mailing address
1785 W Stadium Blvd Ste 203C
Ann Arbor, MI 48103-5291
Phone (734) 913-1093
Other names 1
- Kaitlin Michelle Paxton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801103585 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1861962672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1785 W STADIUM BLVD STE 203C",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481035291",
"telephone_number": "734-913-1093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1785 W STADIUM BLVD STE 203C",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481035291",
"telephone_number": "734-913-1093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "KAITLIN",
"middle_name": "PAXTON",
"name_prefix": "Dr.",
"credential": "PHD, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-05",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801103585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLIN",
"last_name": "PAXTON",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.