Katrina Elizabeth Dimango, BA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801091227 Issued in MI

Practice address

41100 Fox Run
Novi, MI 48377-4804

Phone

(248) 668-8650

Fax

(248) 668-8651

NPI assigned

Oct 2, 2007

Last updated

Feb 23, 2023By the provider in NPPES

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

Other identifiers 1

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

Michigan State University College of Human Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Simply Mindful Counseling LLCGroup PAC ID 6800282963, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts

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.

• Simply Mindful Counseling, LLC

  • Clinical Social Worker
  • Plymouth, MI
  • NPI 1851900302
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1942497011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762",
            "telephone_number": "248-668-8650",
            "fax_number": "248-668-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41100 FOX RUN",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483774804",
            "telephone_number": "248-668-8650",
            "fax_number": "248-668-8651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23332 Orchard Lake Rd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483363280",
            "country_code": "US",
            "telephone_number": "248-473-1290",
            "fax_number": "248-473-1293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMANGO",
        "first_name": "KATRINA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1883825",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra Shardae Diggs
• Digital Plant Insights (The Center for Treatment of Traumatic Stress Disorders)
• Jessica Dikhow, FNP-BC
• Theresa Dillard
• Alia Dillingham
• Renalyn Dimaranan
• Jorgensen Dimoji
• Rita Marie Dinser, RN
• Sara Dionisio
• Bernice Diop, LMSW,LMFT,ACSW, DCSW

• Clinical Social Worker in Novi, MI
• Providers in Novi, 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 Feb 23, 2023; 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.