Active NPI
Rebecca Piccard, LMSW
- Clinical Social Worker
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801121368
- Practice address
- 4448 5 Mile Rd NW
Grand Rapids, MI 49544-9797 - Phone
- (616) 260-2962
- NPI assigned
- Nov 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 6801121368 | MI | Primary |
Addresses
Primary practice location
4448 5 Mile Rd NW
Grand Rapids, MI 49544-9797
Mailing address
4448 5 Mile Rd NW
Grand Rapids, MI 49544-9797
Phone (616) 260-2962
Other practice location 1
3800 Lake Michigan Dr NW Ste 103
Grand Rapids, MI 49534-4583
Phone (616) 805-3660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3800 Lake Michigan Dr NW
Walker, MI 49534-4583
Phone (616) 805-3660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801121368 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Center of West Michigan, LLC | Current | Accepting new patients | |
| Virtuwell Therapy, LLC | Past | Accepting new patients |
Locations
333 Bridge St NW
Ste 1120
Grand Rapids, MI 49504
Phone 61680536601005
360 E Beltline Ave NE
Ste 100
Grand Rapids, MI 49506
Phone (616) 566-1021
65 S Main St
Ste A
Rockford, MI 49341
3800 Lake Michigan Dr NW
Ste 103
Walker, MI 49534
Phone (616) 499-7209
3800 Lake Michigan Dr NW
Walker, MI 49534
Phone (616) 453-8225
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Grand Rapids, MI
- NPI 1437610730
-
- Mental Health Counselor
- Grand Rapids, MI
- NPI 1871356212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1033829296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4448 5 MILE RD NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495449797",
"telephone_number": "616-260-2962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4448 5 MILE RD NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495449797",
"telephone_number": "616-260-2962"
}
],
"practiceLocations": [
{
"address_1": "3800 Lake Michigan Dr NW Ste 103",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495344583",
"country_code": "US",
"telephone_number": "616-805-3660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PICCARD",
"first_name": "REBECCA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-29",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801121368",
"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 Dec 9, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.