Organization Active NPI

Kristin Sulecki, LMSW, LLC

  • Clinical Social Worker
  • Traverse City, MI
National Provider Identifier
1982411005
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KRISTIN SULECKI, LMSW, LLC
Practice address
12935 S West Bay Shore Dr # 350B
Traverse City, MI 49684-6298
Phone
(231) 431-0154
NPI assigned
Dec 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Kristin Sulecki, LMSWNPI 1902622145
Title
Owner/Therapist
Phone
(231) 431-0154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

12935 S West Bay Shore Dr # 350B
Traverse City, MI 49684-6298

Mailing address

12935 S West Bay Shore Dr # 350B
Traverse City, MI 49684-6298

National Provider Directory

National Provider Directory

Locations

12935 S West Bay Shore Dr
#350B
Traverse City, MI 49684
Phone (231) 431-0154

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1982411005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12935 S WEST BAY SHORE DR # 350B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12935 S WEST BAY SHORE DR # 350B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846298",
            "telephone_number": "231-431-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN SULECKI, LMSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "SULECKI",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "231-431-0154",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.