Active NPI
Cindy Newberry, LMSW
- Clinical Social Worker
- Holland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801097189
- Practice address
- 3124 N Wellness Dr Ste 50
Holland, MI 49424-8121 - Phone
- (616) 805-3660
- Fax
- (616) 805-3631
- NPI assigned
- Oct 22, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 6801097189 | MI | |
| Clinical Social Worker | 1041C0700X | 6801097189 | MI | Primary |
Addresses
Primary practice location
3124 N Wellness Dr Ste 50
Holland, MI 49424-8121
Mailing address
333 Bridge St NW Ste 1120
Grand Rapids, MI 49504-5356
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3124 N Wellness Dr
Suite 50
Holland, MI 49424-8121
Phone (616) 805-3660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801097189 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtuwell Therapy, LLC | Current | Accepting new patients | |
| Intercare Community Health Network | Current | Accepting new patients | |
| Intercare Community Health Network | Current | Accepting new patients | |
| Counseling Center of West Michigan, LLC | Current | Accepting new patients | |
| Jack a Dekkinga MD PC | Past | Accepting new patients |
Locations
308 Charles St
Bangor, MI 49013
Phone (269) 427-7967
50 Industrial Park Rd
Bangor, MI 49013
Phone (269) 427-7937
800 M 139
Benton Harbor, MI 49022
Phone (269) 927-5400
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
3124 N Wellness Dr
Ste 50
Holland, MI 49424
Phone (616) 263-1678
5498 109th Ave
Pullman, MI 49450
Phone (269) 236-5021
65 S Main St
Ste A
Rockford, MI 49341
Organizations & group practices 5
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
-
- Federally Qualified Health Center (FQHC)
- Bangor, MI
- NPI 1326058512
-
- Federally Qualified Health Center (FQHC)
- Eau Claire, MI
- NPI 1336701119
-
- Mental Health Counselor
- Grand Rapids, MI
- NPI 1871356212
-
- Dermatology Physician
- Grandville, MI
- NPI 1609896034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1043786700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 BRIDGE ST NW STE 1120",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495045356",
"telephone_number": "616-805-3660",
"fax_number": "616-805-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3124 N WELLNESS DR STE 50",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494248121",
"telephone_number": "616-805-3660",
"fax_number": "616-805-3631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBERRY",
"first_name": "CINDY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-22",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801097189",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801097189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.
- 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.