Individual provider Active NPI

Mary Hoekstra, LMSW CAAC ACSW BCD

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1932276037
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801065219 Issued in MI
Practice address
117 W Paterson St
Kalamazoo, MI 49007-2557
Phone
(269) 343-2641
Fax
(269) 349-4373
NPI assigned
Nov 30, 2006
Last updated
Nov 6, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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 6801065219 MI Primary

Addresses

Primary practice location

117 W Paterson St
Kalamazoo, MI 49007-2557

Mailing address

117 W Paterson St
Kalamazoo, MI 49007-2557
Phone (269) 343-2641

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
I20050714000130 MI Practitioner - Clinical Social Worker 2769418474 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ismail B Sendi MD PCGroup PAC ID 4688674534, 72 clinicians

Practice addresses (Care Compare)

8225 Moorsbridge Rd
Portage, MI 49024-7845
Phone (800) 395-3223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801065219MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Promed CurrentSince Jan 1, 2018 Accepting new patients
Family Health Center Inc CurrentSince Oct 1, 2009 Accepting new patients
Promed Healthcare CurrentSince Jan 1, 2018 Accepting new patients
Beacon Medical Group Michigan Inc Current Accepting new patients
Ismail B. Sendi, MD, PC CurrentSince Nov 22, 2023 Accepting new patients
Family Health Center Inc CurrentSince Oct 1, 2009 Accepting new patients
Ismail B. Sendi, MD, PC CurrentSince Nov 22, 2023 Accepting new patients

Locations

6549 Town Center Dr
Ste A
Clarkston, MI 48346
Phone (248) 620-6400

117 W Paterson St
Kalamazoo, MI 49007

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

8225 Moorsbridge Rd
Portage, MI 49024

1241 W Broadway St
Three Rivers, MI 49093
Phone (269) 273-9539

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1932276037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W PATERSON ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490072557",
            "telephone_number": "269-343-2641",
            "fax_number": "269-349-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W PATERSON ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490072557",
            "telephone_number": "269-343-2641",
            "fax_number": "269-349-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEKSTRA",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "LMSW CAAC ACSW BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801065219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.