Wendy S Kopitsch, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801122209 Issued in MI

Practice address

509 Franklin Ave
Grand Haven, MI 49417-1400

Phone

(616) 202-2138

NPI assigned

May 13, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Social Worker

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053169136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WILLIAMS AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171731",
            "telephone_number": "517-749-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 FRANKLIN AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171400",
            "telephone_number": "616-202-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPITSCH",
        "first_name": "WENDY",
        "middle_name": "S",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801122209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Anne Kolacz
• Kimberlee Kolb, LMT
• Jason A. Kooi, PT
• Kooistra & Associates Psychological Services LLC
• William P. Kooistra, PH.D.
• Miranda Marie Kovalcik
• Julie M Kowacz, MD
• Steven Robert Kraft, D.C.
• Kyle Vernon Kramer, DO
• Jennifer Marie Krieger, FNP-C

• Clinical Social Worker in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.