Organization Active NPI

Barbara Beerthuis, LMSW, LCC

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1043451677
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801033459 Issued in MI
Legal business name
BARBARA BEERTHUIS, LMSW, LCC
Practice address
4460 44TH St SE
#C44
Grand Rapids, MI 49512-4138
Phone
(616) 916-9978
Fax
(612) 637-1704
NPI assigned
Mar 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Ms. Barbara Ellens Beerthuis, LMSW
Title
Owner
Phone
(616) 916-9978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801033459 MI Primary

Addresses

Primary practice location

4460 44TH St SE
#C44
Grand Rapids, MI 49512-4138

Mailing address

4460 44TH St SE
#C44
Grand Rapids, MI 49512-4138
Phone (616) 916-9978

National Provider Directory

National Provider Directory

Locations

4460 44th St SE
#C44
Grand Rapids, MI 49512
Phone (616) 916-9978

4460 44th St SE
Ste C442
Grand Rapids, MI 49512
Phone (616) 916-9978

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1043451677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 44TH ST SE",
            "address_2": "#C44",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495124138",
            "telephone_number": "616-916-9978",
            "fax_number": "612-637-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 44TH ST SE",
            "address_2": "#C44",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495124138",
            "telephone_number": "616-916-9978",
            "fax_number": "612-637-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA BEERTHUIS, LMSW, LCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "BEERTHUIS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ELLENS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-916-9978",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801033459",
            "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 Mar 11, 2009; 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.