Katherine Bristol, MSW, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801086155 Issued in MI

Practice address

441 N State St
Caro, MI 48723-1539

Phone

(989) 787-0028

Fax

(989) 331-6790

NPI assigned

Jun 12, 2013

Last updated

Oct 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Life's Joy Psychological Services LLC

  • Clinical Social Worker
  • Caro, MI
  • NPI 1568061851
  Medicare reassignment Authorized official
• Thumb Area Psychological Services, LLC

  • Behavior Analyst
  • Cass City, MI
  • NPI 1386072841

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1881032878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 N STATE ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231539",
            "telephone_number": "989-787-0028",
            "fax_number": "989-331-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 N STATE ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231539",
            "telephone_number": "989-787-0028",
            "fax_number": "989-331-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTOL",
        "first_name": "KATHERINE",
        "credential": "MSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri Brandt, B.S., M.P.T.
• Laura M Breidinger, PA
• Makayla Linn Brindley, FNP-BC
• Danielle Ann Briolat, RPH
• Daniel R. Bristol, M.A.
• Benjamin Brown
• Laura J Brown, MA,LPC,CAADC
• Kirsten Saryssa Brydon, OTR/L
• Chelsea Buhl, LLMSW
• Tessa Buhl

• Clinical Social Worker in Caro, MI
• Providers in Caro, 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 Oct 19, 2020; 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.

Verify at the official NPI Registry.