MRS. KIMBERLY C HAZEL (LMSW, ACSW) – Clinical Social Worker, NPI 1801987136

MRS. KIMBERLY C HAZEL (LMSW, ACSW) is a healthcare provider. based in Romeo, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW, ACSW. They hold a License No. 6801-065462 (MI). The NPI Number for MRS. KIMBERLY C HAZEL (LMSW, ACSW) is 1801987136

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY C HAZEL (LMSW, ACSW)
NPI
1801987136
Phone
(586) 281-6815
Address
1 N STARKWEATHER ALY FL 3
Enumeration Date
28 September 2006
Last Update Date
28 June 2018

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5862816815
Graduation Year
1992 (34 years ago)
PAC ID
7618250325
Group Practice PAC ID
3476825043
Professional Enrollment ID
I20170202002767
Address ID
MI480654690RO1XXXXALYX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for MRS. KIMBERLY C HAZEL (LMSW, ACSW)

  • 1 N STARKWEATHER ALY FL 3

    ROMEO, MI 480654690

    Phone: (586) 281-6815

    Fax: (586) 281-6816

    Mailing address matches the actual address.

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: 2017-02-02

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
I20170202002767IClinical 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 48065)

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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: 3476825043View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What is MRS. KIMBERLY C HAZEL (LMSW, ACSW)'s NPI number?
MRS. KIMBERLY C HAZEL (LMSW, ACSW)'s NPI is 1801987136 — the number used across U.S. healthcare to identify this provider.
Is MRS. KIMBERLY C HAZEL (LMSW, ACSW) shown as active in public data?
Registry records indicate MRS. KIMBERLY C HAZEL (LMSW, ACSW) maintains an active NPI.
How would a patient describe MRS. KIMBERLY C HAZEL (LMSW, ACSW)'s focus?
For MRS. KIMBERLY C HAZEL (LMSW, ACSW), the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. KIMBERLY C HAZEL (LMSW, ACSW)?
Directory geography for MRS. KIMBERLY C HAZEL (LMSW, ACSW) centers on Romeo, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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