Individual provider Active NPI

Ebony Shianne Crane, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1083199467
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801108286 Issued in MI
Practice address
2335 Burton St SE Ste 210
Grand Rapids, MI 49506-4669
Phone
(616) 236-3600
Fax
(616) 369-1449
NPI assigned
Oct 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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 6801108286 MI
Clinical Social Worker 1041C0700X 6801108286 MI Primary

Addresses

Primary practice location

2335 Burton St SE Ste 210
Grand Rapids, MI 49506-4669

Mailing address

4593 Tabor Rd NW
Comstock Park, MI 49321-9329
Phone (616) 930-6944

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
I20201109001919 MI Practitioner - Clinical Social Worker 8022428713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resilience Therapy LLCGroup PAC ID 7113337809, 3 clinicians

Practice addresses (Care Compare)

2335 Burton St SE
Suite 210
Grand Rapids, MI 49506-4669
Phone (616) 236-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801108286MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Chapters Counseling Services, PLLC Clinical CurrentSince Mar 3, 2024 Accepting new patients
Resilience Therapy LLC Social Worker CurrentSince Oct 28, 2020 Accepting new patients

Locations

2146 Division Ave S
Unit 2
Grand Rapids, MI 49507
Phone (616) 236-3600

2335 Burton St SE
Ste 210
Grand Rapids, MI 49506
Phone (616) 236-3600

Organizations & group practices 2

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": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1083199467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4593 TABOR RD NW",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493219329",
            "telephone_number": "616-930-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 BURTON ST SE STE 210",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064669",
            "telephone_number": "616-236-3600",
            "fax_number": "616-369-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "EBONY",
        "middle_name": "SHIANNE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801108286",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801108286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.