Kelly Lynn Eschenburg, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801085318 Issued in MI

Practice address

625 East Big Beaver Road
Suite #200
Troy, MI 48083

Phone

(586) 863-4000

Fax

(586) 863-4004

NPI assigned

Aug 16, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Lynn Butkowski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Henry Ford Health System

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1891702833
  NPD (past)
• Hetal Patel, M.D. P.C.

  • Psychiatry Physician
  • Chesterfield, MI
  • NPI 1447672944
  NPD (past)

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1982983383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6249 RIVERTON DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480981879",
            "telephone_number": "586-601-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 EAST BIG BEAVER ROAD",
            "address_2": "SUITE #200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48083",
            "telephone_number": "586-863-4000",
            "fax_number": "586-863-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCHENBURG",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "BUTKOWSKI",
            "middle_name": "LYNN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marylou Erb, CRNP
• Anne M Erben, MD
• Brian Erdmann, PA
• Kristen Erickson, LPC
• Amber Leigh Ernst
• Cheryl Esfahan, OTRL
• Lina Eskander, DENTAL HYGIENIST
• Mark Mina Essak, PHARM.D.
• Essential Anesthesia Services, PLC
• Cesar Elago Estrada Jr.

• Clinical Social Worker in Troy, MI
• Providers in Troy, 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 Jul 9, 2018; 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.