Individual provider Active NPI

Kathleen Loesel-Strauch

  • Clinical Social Worker
  • Bloomfield Hills, MI
National Provider Identifier
1871769224
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801087605 Issued in MI
Practice address
43996 Woodward Ave
Suite 02
Bloomfield Hills, MI 48302-5027
Phone
(248) 579-0856
Fax
(248) 786-5324
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801087605 MI Primary

Addresses

Primary practice location

43996 Woodward Ave
Suite 02
Bloomfield Hills, MI 48302-5027

Mailing address

34556 Bunker Hill Dr
Farmington Hills, MI 48331-3225
Phone (248) 579-0856

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130204000030 MI Practitioner - Clinical Social Worker 2264686088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpha Family Counseling PCGroup PAC ID 0143374231, 2 clinicians

Practice addresses (Care Compare)

43996 Woodward Ave
Suite 2
Bloomfield Hills, MI 48302-5030
Phone (248) 489-4011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801087605MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Family Counseling PC Clinical CurrentSince Jan 13, 2013 Accepting new patients

Locations

43996 Woodward Ave
Ste 2
Bloomfield Township, MI 48302
Phone (248) 489-4011

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1871769224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34556 BUNKER HILL DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313225",
            "telephone_number": "248-579-0856",
            "fax_number": "248-786-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43996 WOODWARD AVE",
            "address_2": "SUITE 02",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025027",
            "telephone_number": "248-579-0856",
            "fax_number": "248-786-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOESEL-STRAUCH",
        "first_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.