Katrina M Peplinski, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851115764 Issued in MI

Practice address

22811 Greater Mack Ave
Saint Clair Shores, MI 48080-2021

Phone

(989) 992-2174

NPI assigned

Aug 9, 2023

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

Other names 1

• Katrina M Fuller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1912680620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38861 SHORELINE DR",
            "city": "HARRISON TOWNSHIP",
            "state": "MI",
            "postal_code": "480452236",
            "telephone_number": "989-992-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22811 GREATER MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802021",
            "telephone_number": "989-992-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPLINSKI",
        "first_name": "KATRINA",
        "middle_name": "M",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851115764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "FULLER",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joel L Pelavin, M.D.,P.C.
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• Christine Ann Peltier
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• Rebecca Periard, RN
• Alondra Maria Perkins
• Kia Perkins
• Elizabeth Perrotta, NP

• Clinical Social Worker in Saint Clair Shores, MI
• Providers in Saint Clair Shores, 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 Aug 9, 2023; 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.