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YWCA WEST CENTRAL MICHIGAN NPI 1831235985


NPI Information

NPI: 1831235985
Provider Name: YWCA WEST CENTRAL MICHIGAN

Former Legal Business Name: YWCA OF GRAND RAPIDS

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 23D0920759

Address:
25 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 459-4681
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YWCA WEST CENTRAL MICHIGAN is a clinical social worker in Grand Rapids, MI. The provider is 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. YWCA WEST CENTRAL MICHIGAN NPI is 1831235985. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Ywca Of Grand Rapids.

The provider's business location address is:

25 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503-209
Phone: (616) 459-4681
Fax: (616) 459-5423

The provider's authorized official is Debra E Shimmel .
The authorized official title is Vice President Of Operations and has the following contact phone number (616) 459-4681.

The CLIA number assigned to this NPI record is 23D0920759 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 1/9/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalNo
21041C0700XSocial WorkerClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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