Organization Active NPI

Emily S. Kohler, LMSW PLLC

  • Clinical Social Worker
  • Suttons Bay, MI
National Provider Identifier
1871019547
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801092212 Issued in MI
Legal business name
EMILY S. KOHLER, LMSW PLLC
Practice address
11145 E Fort Rd
Suttons Bay, MI 49682-9516
Phone
(231) 715-6071
NPI assigned
Aug 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Emily Kohler, LMSWNPI 1770837841
Title
Business Owner
Phone
(231) 715-6071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801092212 MI Primary

Addresses

Primary practice location

11145 E Fort Rd
Suttons Bay, MI 49682-9516

Mailing address

PO Box 516
Suttons Bay, MI 49682-0516
Phone (231) 715-6071

Other identifiers 1

IdentifierTypeStateIssuer
6801092212OtherMILICENSED SOCIAL WORKER

National Provider Directory

National Provider Directory
Tax ID family
Chestnut Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1871019547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496820516",
            "telephone_number": "231-715-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11145 E FORT RD",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496829516",
            "telephone_number": "231-715-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY S. KOHLER, LMSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "KOHLER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "231-715-6071",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SOCIAL WORKER",
            "identifier": "6801092212",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suttons Bay, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.