Kaitlin Kathleen Genslak

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1111 40TH St SE
Grand Rapids, MI 49508-6084

Phone

(616) 827-4187

NPI assigned

Oct 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Spectrum Community Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Westland, MI
  • NPI 1164577391
  NPD
• Spectrum Community Services

  • Home Health Agency
  • Westland, MI
  • NPI 1457117962
  NPD

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1922518133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 40TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495086084",
            "telephone_number": "616-827-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 40TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495086084",
            "telephone_number": "616-827-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENSLAK",
        "first_name": "KAITLIN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2021-12-02",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kskoglund@spectrumhuman.org",
            "affiliation": "N",
            "address_1": "1111 40th St SE",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495086084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bethany Gemmen, MA, CCC-SLP
• Genesis Non Profit Housing Corp.- Heron Court
• Genesis Non-Profit Housing Corporation
• Gabrielle Geneva
• Alyssa Marie Gennety
• Steffen D Genthe, MD
• Jeremy Gentile, DO
• Kelly Lynn Gentile, PT
• Sonia Kumar Gentile, MD, PHD
• Gentle Compassion LLC

• Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.