Healthcare Provider Details

I. General information

NPI: 1982519468
Provider Name (Legal Business Name): KATI ELIZABETH HUKILL LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 W WASHINGTON ST STE B
MARQUETTE MI
49855-4031
US

IV. Provider business mailing address

7811 W MONTGOMERY RD
CAMDEN MI
49232-9720
US

V. Phone/Fax

Practice location:
  • Phone: 906-262-0071
  • Fax: 989-267-0230
Mailing address:
  • Phone: 517-398-6046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851122667
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: