Sara Anne Van Tongeren, MSW, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801094090 Issued in MI

Practice address

27 W 25TH St
Holland, MI 49423-4910

Phone

(616) 827-7807

Fax

(616) 828-0293

NPI assigned

May 23, 2012

Last updated

Jun 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Sara Anne Showalter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 23, 2016 through Mar 23, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sara a. Van Tongeren, LMSW LLC

  dba The Flourishing Collective

  • Clinical Social Worker
  • Holland, MI
  • NPI 1366008112
  NPD Authorized official

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1033479167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E 8TH ST STE 246",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233751",
            "telephone_number": "616-827-7807",
            "fax_number": "616-828-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 W 25TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234910",
            "telephone_number": "616-827-7807",
            "fax_number": "616-828-0293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 E 16th St",
            "address_2": "Suite 290",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494233786",
            "country_code": "US",
            "telephone_number": "616-399-7005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN TONGEREN",
        "first_name": "SARA",
        "middle_name": "ANNE",
        "credential": "MSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007563",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "SHOWALTER",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Van Harn, LLBSW
• Ronald M Van Kints, DC
• Michelle Van Oss, PT, DPT
• Brent Van Til, DPM
• Kathleen Sue Van Til, NP
• Clare Royce Van Wieren, D.D.S.
• Susan Diane Vanallsburg, MA, LPC
• Emma Vanandel
• David Vanappledorn, D.D.S.
• Tina Vande Guchte

• Clinical Social Worker in Holland, MI
• Providers in Holland, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.