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Nicklaus Kaiser, LLMSW

Social Worker, Clinical in Port Huron, MI. Individual provider (NPI-1).

NPI number1154091809
StatusActive
Last updated in NPPESJun 13, 2025

Details

NPI
1154091809
Entity type
Individual (NPI-1)
Name
Nicklaus Kaiser
Credential
LLMSW
Sex
Male
Sole proprietor
No
Enumeration date
Sep 15, 2021
Certification date
Jun 13, 2025
Last updated
Jun 13, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical6851116892MIYes
104100000X Social Worker––

Practice location

500 10th St Ste A
Port Huron, MI 48060-4477

Phone 800-395-3223 · Fax 248-620-6405

Mailing address

6549 Town Center Dr
Clarkston, MI 48346-4824

Phone 800-395-3223 · Fax 248-620-6405

Other practice locations

15600 19 Mile Rd
Clinton Township, MI 48038-3502

Phone 586-263-8700

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinical Social Worker providers in Port Huron, MI

All 205 Clinical Social Worker providers in Port Huron · All 1,977 providers in Port Huron

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