Healthcare Provider Details

I. General information

NPI: 1063322709
Provider Name (Legal Business Name): KIMBERLY BATTJES LMSW
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: KIMBERLY PLEINESS LMSW

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 N AURELIUS RD
MASON MI
48854-9552
US

IV. Provider business mailing address

201 W ASH ST STE 2A
MASON MI
48854-1513
US

V. Phone/Fax

Practice location:
  • Phone: 517-676-6506
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801080445
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number6801080445
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: