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Kamal Taymour Ghazi , LLMSW

Social Worker β€’ Jackson, MI

Active NPI 1245908151 Individual Practitioner Male Practitioner
Practice location in NPPES

1200 N West Ave, Lifeways
Jackson, MI 49202

Call 5177891200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1200 N West Ave
Lifeways

Jackson, MI 49202

Telephone 5177891200
Organization at the Same NPPES Address or Phone
Recovery Technology Llc Facility NPI 1144259094

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Jackson, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jackson and Michigan

164 active clinicians are listed under Social Worker with a practice address in Jackson, MI (9,122 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

4.3% of these 164 clinicians have the CMS telehealth indicator.

9.1% of these 164 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-09-09
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Counselor - School

NUCC Taxonomy Code: 101YS0200X

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
$$$$$$$$$ (MI)

Secondary Practice Locations

2575 Spring Arbor Rd Ste 300

Jackson, MI 492033652

Phone: 5177888330

207 1st St

Jackson, MI 492012102

Phone: 5179984673

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Jessica Bemer , LLMSW

Social Worker - Clinical

NPI 1740668466

Limited Licensed Master Social Worker

Dr. Joseph Drumm , DO

Psychiatry & Neurology - Psychiatry

NPI 1619262680

Doctor of Osteopathic Medicine (D.O.)

Kendra Keranen , MA LPC

Counselor - Mental Health

NPI 1558737478

MALPC

Suzanne Kirk , BS, MS, FNP

Nurse Practitioner - Family

NPI 1669479234

Bachelor of Science, Master of Science, Family Nurse Practitioner

Michelle Norris , APRN

Psychiatry & Neurology - Psychiatry

NPI 1386903425

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 01, 2022

Registered at 1200 N WEST AVE, LIFEWAYS, JACKSON, MI 49202 (Tel: 5177891200)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2022

Counselor

βœ…
NPI Profile Active September 03, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 03, 2021

Registered at 1200 N WEST AVE, JACKSON, MI 492022179 (Tel: 5177891200)

πŸ“
Business Mailing Address (Initial Record) September 03, 2021

Registered at 109 GARRISON DR, BROOKLYN, MI 492309711 (Tel: 5177456228)

πŸ‘€
Provider Name / Credentials (Initial Record) September 03, 2021

Recorded as KAMAL GHAZI, LLMSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2021

Counselor

🟒
Initial NPI Registration & Enumeration September 03, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1245908151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 03, 2021
Last Update: March 01, 2022
Sole Proprietor: Yes

Other Social Workers in Jackson

All Social Workers in Jackson

Mailing Address

109 Garrison Dr

Brooklyn, MI 492309711

Phone: 5177456228

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.