Active NPI
Alicia Gabrielle Hinojosa, LLMSW
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1043936701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851115166
- Practice address
- 1959 Thornapple River Dr SE
Grand Rapids, MI 49546-9706 - Phone
- (616) 226-6138
- Fax
- (616) 259-4214
- NPI assigned
- Oct 14, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6851115166 | MI | Primary |
Addresses
Primary practice location
1959 Thornapple River Dr SE
Grand Rapids, MI 49546-9706
Mailing address
PO Box 609
Ada, MI 49301-0609
Phone (616) 327-2405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851115166 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telebehavioral Health US | Clinical | Current | Accepting new patients |
| Carla Miller Ma MSW | Clinical | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Belmont, MI
- NPI 1194252692
-
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1942334669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1043936701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 609",
"city": "ADA",
"state": "MI",
"postal_code": "493010609",
"telephone_number": "616-327-2405",
"fax_number": "616-259-4214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 THORNAPPLE RIVER DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495469706",
"telephone_number": "616-226-6138",
"fax_number": "616-259-4214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINOJOSA",
"first_name": "ALICIA",
"middle_name": "GABRIELLE",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-14",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851115166",
"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 Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.