Individual provider Active NPI

Mary Severe, LMSW

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1982361390
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095126 Issued in MI
Practice address
1011 W Maple St
Kalamazoo, MI 49008-1899
Phone
(269) 598-0990
NPI assigned
Nov 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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 6801095126 MI Primary

Addresses

Primary practice location

1011 W Maple St
Kalamazoo, MI 49008-1899

Mailing address

2227 Tipperary Rd
Kalamazoo, MI 49008-1709
Phone (269) 598-0990

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
I20211209002616 MI Practitioner - Clinical Social Worker 0042600827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rinehart Institute PLLCGroup PAC ID 1254808777, 6 clinicians

Practice addresses (Care Compare)

3315 Greenleaf Blvd
Kalamazoo, MI 49008-2516
Phone (269) 281-3886

5400 Holiday Ter
Suite DB
Kalamazoo, MI 49009-2110
Phone (269) 381-8191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christina Thomason, PLLC Clinical CurrentSince Jan 2, 2024 Accepting new patients

Locations

3315 Greenleaf Blvd
Kalamazoo, MI 49008
Phone (269) 281-3886

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": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1982361390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 TIPPERARY RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081709",
            "telephone_number": "269-598-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W MAPLE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081899",
            "telephone_number": "269-598-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERE",
        "first_name": "MARY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.