Individual provider Active NPI

Kaytlin Jessica Schweda, LMSW

  • Clinical Social Worker
  • Grand Haven, MI
National Provider Identifier
1043055171
Registry record updated Jun 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801114795 Issued in MI
Practice address
1309 Sheldon Rd
Grand Haven, MI 49417-2404
Phone
(616) 847-5330
Fax
(616) 847-5555
NPI assigned
Jun 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2024

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 6801114795 MI Primary

Addresses

Primary practice location

1309 Sheldon Rd
Grand Haven, MI 49417-2404

Mailing address

7693 Blue Lake Rd
Twin Lake, MI 49457-9408
Phone (989) 619-2863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801114795MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Grand Haven Hospital CurrentSince Jun 1, 2024 Accepting new patients

Locations

1309 Sheldon Rd
Grand Haven, MI 49417
Phone (616) 842-3600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1043055171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7693 BLUE LAKE RD",
            "city": "TWIN LAKE",
            "state": "MI",
            "postal_code": "494579408",
            "telephone_number": "989-619-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 SHELDON RD",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172404",
            "telephone_number": "616-847-5330",
            "fax_number": "616-847-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWEDA",
        "first_name": "KAYTLIN",
        "middle_name": "JESSICA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.