Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kate Marie Ermutlu

Individual provider Clinical Social Worker · NPI 1477290583

Kate Marie Ermutlu is a Clinical Social Worker in Portland, Michigan. Qualified in 2018, 8 years ago. Practices with Sparrow Ionia Hospital, a 42-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2022

Practice location Address checks out

1850 Hyland Dr
Portland, MI 48875-8508
Phone: (517) 253-5084
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801110696 (MI)

Record details

NPI number1477290583
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 19, 2022
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing addressPo Box 13008, Lansing, MI 48901-3008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Sparrow Ionia Hospital — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Portland