Kimberly Marie Sanderson
NPI 1659044683ActiveIndividual· Social Worker, Clinical· Grand Blanc, MI
Social Worker, Clinical in Grand Blanc, Michigan, trained at Michigan State University College of Human Medicine (class of 2011). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1659044683 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 27, 2021 |
| Last updated in NPPES | Jun 24, 2026 |
| Certified by provider | Jun 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MI) |
|---|
Education and affiliations
| Medical school | Michigan State University College of Human Medicine |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Clinical Social Worker |
Medical group
- Optimum BalanceFenton, MI · 6 clinicians
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