Individual provider Active NPI

Kate M Cragwall, L.M.S.W.

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1033398706
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801011390 Issued in MI
Practice address
4469 Cascade Rd SE
Suite 4469
Grand Rapids, MI 49546-3632
Phone
(616) 940-3331
Fax
(616) 940-1377
NPI assigned
Oct 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801011390 MI Primary

Addresses

Primary practice location

4469 Cascade Rd SE
Suite 4469
Grand Rapids, MI 49546-3632

Mailing address

4469 Cascade Rd SE
Suite 4469
Grand Rapids, MI 49546-3632
Phone (616) 940-3331

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801011390MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1033398706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4469 CASCADE RD SE",
            "address_2": "SUITE 4469",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463632",
            "telephone_number": "616-940-3331",
            "fax_number": "616-940-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4469 CASCADE RD SE",
            "address_2": "SUITE 4469",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463632",
            "telephone_number": "616-940-3331",
            "fax_number": "616-940-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAGWALL",
        "first_name": "KATE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "L.M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801011390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.