Individual provider Active NPI

Cassie Hall, LMSW-C

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1053991786
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801117679 Issued in MI
Practice address
401 Hall St SW Ste 112E
Grand Rapids, MI 49503-6500
Phone
(616) 275-4846
NPI assigned
Apr 8, 2021
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801117679 MI Primary
Clinical Social Worker 1041C0700X 6851114159 MI

Addresses

Primary practice location

401 Hall St SW Ste 112E
Grand Rapids, MI 49503-6500

Mailing address

401 Hall St SW Ste 112E
Grand Rapids, MI 49503-6500
Phone (616) 275-4846

Other practice location 1

300 68th St SE
Grand Rapids, MI 49548-6927
Phone (616) 455-5000

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

LicenseStateTypeSpecialty
6801117679MIMDClinical Social Worker
6851114159MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tabletalk Counseling LLC Clinical CurrentSince Jan 1, 2024 Accepting new patients

Locations

1971 E Beltline Ave NE
Ste 106666
Grand Rapids, MI 49525

401 Hall St SW
Ste 112E
Grand Rapids, MI 49503
Phone (616) 275-4846

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1053991786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HALL ST SW STE 112E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495036500",
            "telephone_number": "616-275-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HALL ST SW STE 112E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495036500",
            "telephone_number": "616-275-4846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 68th St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495486927",
            "country_code": "US",
            "telephone_number": "616-455-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "CASSIE",
        "credential": "LMSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801117679",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851114159",
            "primary": false
        }
    ],
    "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 Feb 19, 2025; 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.