Individual provider Active NPI

Katrina Sternaman-Rosenbaum, LMSW

  • Clinical Social Worker
  • Paw Paw, MI
National Provider Identifier
1982024311
Registry record updated Feb 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
801 Hazen St
Suite C
Paw Paw, MI 49079-2008
Phone
(269) 655-3334
NPI assigned
Apr 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2018

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 Primary

Addresses

Primary practice location

801 Hazen St
Suite C
Paw Paw, MI 49079-2008

Mailing address

801 Hazen St
Suite C
Paw Paw, MI 49079-2008

Other names 1

  • Katrina Sternaman-Rosenbaum Professional name

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
I20210119002408 MI Practitioner - Clinical Social Worker 4587076260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13560 76TH St
Suite 3
South Haven, MI 49090-9483
Phone (269) 921-3437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Katara Therapy, LLC Clinical CurrentSince Feb 1, 2018 Accepting new patients
Ruth Lee Center for Healing and Growth Clinical CurrentSince Jan 26, 2022 Accepting new patients

Locations

6560 Red Arrow Hwy
Ste C
Coloma, MI 49038
Phone (269) 944-7692

24208 Front Ave
Ste A
Mattawan, MI 49071
Phone (269) 248-1006

13560 76th St
#3
South Haven, MI 49090
Phone (269) 202-6059

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517616000000",
    "number": "1982024311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 HAZEN ST",
            "address_2": "SUITE C",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490792008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HAZEN ST",
            "address_2": "SUITE C",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490792008",
            "telephone_number": "269-655-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERNAMAN-ROSENBAUM",
        "first_name": "KATRINA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2018-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "STERNAMAN-ROSENBAUM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Paw Paw, MI

Sources for this page

Verify at the official NPI Registry.