Active NPI
Kahmiil Kohrie Middleton, LMSW
- Social Worker
- South Bend, IN
National Provider Identifier
1982587341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 99131736A
- Practice address
- 1631 Riverside Dr Apt C
South Bend, IN 46616-1627 - Phone
- (574) 383-8983
- NPI assigned
- Jul 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 99131736A | IN | Primary |
Addresses
Primary practice location
1631 Riverside Dr Apt C
South Bend, IN 46616-1627
Mailing address
2400 Cherry Laurel LN
Albany, GA 31705-4508
Phone (574) 383-8983
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99131736A | IN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1982587341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 CHERRY LAUREL LN",
"city": "ALBANY",
"state": "GA",
"postal_code": "317054508",
"telephone_number": "574-383-8983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 RIVERSIDE DR APT C",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466161627",
"telephone_number": "574-383-8983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "KAHMIIL",
"middle_name": "KOHRIE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-30",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "99131736A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.