Melissa Jeanne Vanderzyden, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801082787 Issued in MI

Practice address

826 Parchment Dr SE Ste 100
Grand Rapids, MI 49546-2307

Phone

(616) 460-8547

NPI assigned

Mar 16, 2018

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Melissa Jeanne Vanderzyden

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1326793894
  NPD Authorized official

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1053814962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CAMBRIDGE DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063357",
            "telephone_number": "616-460-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 PARCHMENT DR SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462307",
            "telephone_number": "616-460-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERZYDEN",
        "first_name": "MELISSA",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucille Yurko Vanderwoude, DNP
• Samuel Vanderwoude
• Alicia Ann Vanderzanden, AUD
• Jamie Elise Vanderzwaag, LLMSW
• Leah Hope Vanderzwaag, RN BSN
• Amber Vandeusen, LMSW
• Karen M Vandeusen, PHD
• Zachary Thomas Vandeveer, MD
• Jennafer Ann Vandevegte, PT
• Christopher Everett Vandeven, D.D.S.

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, 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 Mar 16, 2018; 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.