Khristine Hill

Individual provider Active NPI Social Worker · Grand Rapids, MI

NPI 1063289809 · NPPES record last updated Dec 11, 2023

Key facts

NPI
1063289809
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
Practice address
2172 Dean Lake Ave NE
Grand Rapids, MI 49505-4444
Phone
(616) 930-1654
NPI assigned
Dec 11, 2023
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
D a Blodgett-St Johns Current
since Dec 17, 2023
Accepting new patients

Locations

2172 Dean Lake Ave NE
Grand Rapids, MI 49505
Phone (616) 451-2021

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Yes

Addresses

Primary practice location

2172 Dean Lake Ave NE
Grand Rapids, MI 49505-4444

Mailing address

2172 Dean Lake Ave NE
Grand Rapids, MI 49505-4444

Other providers in Grand Rapids, MI

All providers in Grand Rapids, MI · Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.