Kevin Kinsel, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801058919 Issued in MI

Practice address

407 Livernois St
Ferndale, MI 48220-2385

Phone

(586) 291-8769

NPI assigned

Apr 12, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

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 and National Provider Directory roles.

• Open Door Counseling Center

  • Clinical Social Worker
  • Clinton Township, MI
  • NPI 1295239416
  Medicare reassignment NPD

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1942567177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34764 E LAKE DR",
            "city": "HARRISON TOWNSHIP",
            "state": "MI",
            "postal_code": "480453332",
            "telephone_number": "586-291-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 LIVERNOIS ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202385",
            "telephone_number": "586-291-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSEL",
        "first_name": "KEVIN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801058919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gurudarshan S Khalsa, M.D.
• Faraz Ahmed Khan, MD
• Annaliese Grace Khemmoro
• Haksoo Kim
• Kingswood Hospital (Henry Ford Health System)
• Grace Harding Kirkley, NBC-HWC
• Paula Kirsch, LMSW, LCSW, CST
• Elizabeth Kjar, LLMSW, M.ED
• Nichole G Klebba, LMSW
• Aisha Dwan Knight, MS

• Clinical Social Worker in Ferndale, MI
• Providers in Ferndale, 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 Apr 12, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.