Sharon Angell Killen, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801085884 Issued in MI

Practice address

6589 Scenic Pines CT
Clarkston, MI 48346-4475

Phone

(947) 247-6289

NPI assigned

Oct 4, 2007

Last updated

Nov 19, 2022By 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 2

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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  Medicare reassignment Care Compare group NPD
• True Grace Counseling

  • Clinical Social Worker
  • Clinton TWP, MI
  • NPI 1376345306
  NPD Authorized official

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668816000000",
    "number": "1922296946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6589 SCENIC PINES CT",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464475",
            "telephone_number": "947-247-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6589 SCENIC PINES CT",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464475",
            "telephone_number": "947-247-6289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "967 Oakwood Dr",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MI",
            "postal_code": "483071318",
            "country_code": "US",
            "telephone_number": "248-601-2920",
            "fax_number": "248-650-3680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILLEN",
        "first_name": "SHARON",
        "middle_name": "ANGELL",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2022-11-19",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801085884",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Khoury, LPC
• Kala Kibler, BT
• Kidney Centers of Michigan LLC (Clarkston Dialysis)
• Alicia Nicole Kieninger, MD
• Gloria Jean Kildow, M.A., L.L.P., L.L.P.
• Young Ho Kim, MD PC
• Joan Kimber, OTR/L
• Jennifer Kinaia, NP
• Kindmind Behavioral Health (Triad Associates)
• Kindmind Psychiatric Health

• Clinical Social Worker in Clarkston, MI
• Providers in Clarkston, 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 Nov 19, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.