KATHRYN LYNNE HICKOK MANNEBACH LMSW
NPI 1245724020
Social Worker - Clinical in Grand Rapids, MI

Q: What is Kathryn Hickok Mannebach's NPI number?

The NPI number for Kathryn Hickok Mannebach is 1245724020. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Q: What is Kathryn Hickok Mannebach's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since June 15, 2018PECOS Enrolled

300 68TH ST SE, GRAND RAPIDS, MI 49548(269) 330-4963 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 22, 2023, Jun 15, 2018 (2 updates tracked since 2018).

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About Kathryn Lynne Hickok Mannebach Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHRYN LYNNE HICKOK MANNEBACH LMSW (NPI 1245724020) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801091668) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245724020

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKATHRYN LYNNE HICKOK MANNEBACHCredential: LMSW

Location Address300 68TH ST SEGrand Rapids, MI 49548-6927

Mailing Address75 Diamond Ave NeGrand Rapids, MI 49503-3602 · (269) 330-4963

Phone(269) 330-4963

Sole ProprietorNo

Enumeration DateJune 15, 2018

Last NPPES UpdateJune 22, 20232 updates tracked since enumeration

NPPES CertifiedJune 22, 2023

✔ NPI 1245724020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801091668

Definition

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.

300 68TH ST SE, Grand Rapids, MI 49548

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Lynne Hickok Mannebach Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49548 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.34 – $166.68

Typical copayment $0.00 (range $13.58 – $41.67)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILLIAN LEIGH MURRAY L.C.S.W

Social Worker (Clinical)