KATIE MAE MANUEL (LMSW) – Clinical Social Worker, NPI 1013207828

KATIE MAE MANUEL (LMSW) is a healthcare provider. based in Kalamazoo, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801091269 (MI). The NPI Number for KATIE MAE MANUEL (LMSW) is 1013207828

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
KATIE MAE MANUEL (LMSW)
NPI
1013207828
Phone
(269) 343-1651
Address
2615 Stadium Dr
Enumeration Date
13 April 2011
Last Update Date
27 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
2769712736
Group Practice PAC ID
1759370216
Professional Enrollment ID
I20190918002049
Address ID
MI490072557KA117XXPATT300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for KATIE MAE MANUEL (LMSW)

  • 2615 Stadium Dr

    Kalamazoo, MI 490081654

    Phone: (269) 343-1651

    Type: Location

  • 505 E Alcott St

    Kalamazoo, MI 490016144

    Phone: (269) 349-2641

    Type: Location

  • 1308 N Burdick St

    Kalamazoo, MI 490072503

    Phone: (269) 349-2641

    Type: Location

  • 3270 CARDINAL HILLS TRL

    KALAMAZOO, MI 490046613

    Phone: (269) 808-3837

    Type: Mailing

  • 117 W PATERSON ST

    KALAMAZOO, MI 490072581

    Phone: (269) 349-2641

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190918002049IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49008)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759370216View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeRI
Occupational Therapist In Private PracticeMI
Nurse PractitionerMI
Pediatric Medicine, Internal MedicineMI
-MI
-MI
-MI
-MI
Pediatric Medicine, Internal MedicineMO
Mental Health CounselorMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for KATIE MAE MANUEL (LMSW)?
KATIE MAE MANUEL (LMSW) — NPI 1013207828 — is the standard way to identify this listing.
Does the file indicate KATIE MAE MANUEL (LMSW) is practicing under active NPI?
Directory data currently reports KATIE MAE MANUEL (LMSW) as active.
What healthcare role does KATIE MAE MANUEL (LMSW) hold?
Scheduling teams often label KATIE MAE MANUEL (LMSW) under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for KATIE MAE MANUEL (LMSW)?
KATIE MAE MANUEL (LMSW)'s geographic hint is Kalamazoo, Michigan in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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