Individual provider Active NPI

Rebekah Wisneski

  • School Social Worker
  • Comstock Park, MI
National Provider Identifier
1033022983
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
6801117504 Issued in MI
Practice address
100 Betty St NE
Comstock Park, MI 49321-9116
Phone
(616) 254-5100
NPI assigned
Sep 23, 2026
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 6801117504 MI Primary

Addresses

Primary practice location

100 Betty St NE
Comstock Park, MI 49321-9116

Mailing address

750 Graceland St NE
Grand Rapids, MI 49505-4258
Phone (616) 272-9469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1033022983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 GRACELAND ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054258",
            "telephone_number": "616-272-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BETTY ST NE",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493219116",
            "telephone_number": "616-254-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNESKI",
        "first_name": "REBEKAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MI",
            "license": "6801117504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Comstock Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.