Provider Demographics
NPI:1629840855
Name:BATCHELOR, KALI AMIR (LMSW)
Entity Type:Individual
Prefix:MR
First Name:KALI
Middle Name:AMIR
Last Name:BATCHELOR
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3737 SCOVEL PL APT 9
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48208-1068
Mailing Address - Country:US
Mailing Address - Phone:313-655-4637
Mailing Address - Fax:
Practice Address - Street 1:3737 SCOVEL PL APT 9
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48208-1068
Practice Address - Country:US
Practice Address - Phone:313-655-4637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011140341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical