MEDICARE: KIRSTEN HALE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1528927167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRSTEN HALE

Provider Business Mailing Address
First Line	:	20411 W 12 MILE RD STE 101
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-6404
Country	:	US
Telephone Number	:	866-703-1901
Fax Number	:

Provider Business Practice Location Address
First Line	:	20411 W 12 MILE RD STE 101
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-6404
Country	:	US
Telephone Number	:	866-703-1901
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

Similar Medicare Providers

1578561304 — MICHAEL GREGORY WILLIAMS MD
Practice Location Address:

20411 W 12 MILE RD STE 102
SOUTHFIELD, MI
48076-6404

Practice Phone: 248-905-3194
Practice Fax: 248-905-3548

1366636102 — DR. ELAINE BETH EPSTEIN PSYD, LP
Practice Location Address:

20411 W 12 MILE RD STE 101
SOUTHFIELD, MI
48076-6404

Practice Phone: 866-703-1901
Practice Fax: 866-703-1906

1386814077 — JAMES D KOHLER DDS PC
Practice Location Address:

20411 W 12 MILE , SUITE 102
SOUTHFIELD, MI
48076-6404

Practice Phone: 248-352-1110
Practice Fax: 248-352-0801

1518317890 — SIMONE WILSON MSW, LLMSW, CAADC-DP
Practice Location Address:

20411 W 12 MILE RD STE 101
SOUTHFIELD, MI
48076-6404

Practice Phone: 866-703-1901
Practice Fax:

1265950752 — CAROLINE RENEE CALLAWAY MT-BC
Practice Location Address:

20411 W 12 MILE RD STE 101
SOUTHFIELD, MI
48076-6404

Practice Phone: 866-703-1901
Practice Fax:

1437710118 — ANDREA PEREZ MSW
Practice Location Address:

20411 W 12 MILE RD STE 101
SOUTHFIELD, MI
48076-6404

Practice Phone: 866-703-1901
Practice Fax:

Directions to “ KIRSTEN HALE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.