Individual provider Active NPI

Corey Susan Lloyd Rienstra, MSW, LMSW

  • Clinical Social Worker
  • Holland, MI
National Provider Identifier
1083193882
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801117336 Issued in MI
Practice address
238 Hoover Blvd Ste 30
Holland, MI 49423-3782
Phone
(616) 312-2989
Fax
(616) 294-4202
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801110245 MI
Clinical Social Worker 1041C0700X 6801117336 MI Primary

Addresses

Primary practice location

238 Hoover Blvd Ste 30
Holland, MI 49423-3782

Mailing address

238 Hoover Blvd Ste 30
Holland, MI 49423-3782
Phone (616) 312-2989

Other names 1

  • Mrs. Corey Susan Lloyd Parks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231209000721 MI Practitioner - Clinical Social Worker 2365891892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emhpe Michigan PLLCGroup PAC ID 4082088588, 8 clinicians

Practice addresses (Care Compare)

600 S Beacon Blvd
Suite D
Grand Haven, MI 49417-2178
Phone (616) 691-6764

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801110245MIMDSocial Worker
6801117336MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Rest Christian Mental Health Services CurrentSince Nov 8, 2023 Accepting new patients
Emhpe Michigan PLLC Clinical CurrentSince Jul 17, 2024 Accepting new patients
Pine Rest Christian Mental Health Services Social Worker CurrentSince Nov 8, 2023 Accepting new patients

Locations

600 S Beacon Blvd
Ste D
Grand Haven, MI 49417
Phone (616) 691-6764

1870 Leonard St NE
Grand Rapids, MI 49505
Phone (616) 956-1122

238 Hoover Blvd
Ste 30
Holland, MI 49423
Phone (616) 312-2989

300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1083193882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 HOOVER BLVD STE 30",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233782",
            "telephone_number": "616-312-2989",
            "fax_number": "616-294-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 HOOVER BLVD STE 30",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233782",
            "telephone_number": "616-312-2989",
            "fax_number": "616-294-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIENSTRA",
        "first_name": "COREY",
        "middle_name": "SUSAN LLOYD",
        "name_prefix": "Mrs.",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801110245",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801117336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COREY",
            "last_name": "PARKS",
            "middle_name": "SUSAN LLOYD",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.