Organization Active NPI

Amanda Stienstra LMSW LLC

  • Clinical Social Worker
  • Hudsonville, MI
National Provider Identifier
1083336424
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AMANDA STIENSTRA LMSW LLC
Practice address
2874 Port Sheldon St Ste E
Hudsonville, MI 49426-7898
Phone
(616) 379-9845
NPI assigned
Sep 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Mrs. Amanda M Stienstra, LMSWNPI 1902120884
Title
Licensed Clinical Social Worker
Phone
(616) 885-2676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2874 Port Sheldon St Ste E
Hudsonville, MI 49426-7898

Mailing address

7210 Coconut Dr
Jenison, MI 49428-8722
Phone (616) 885-2676

National Provider Directory

National Provider Directory

Locations

2874 Port Sheldon St
Ste E
Hudsonville, MI 49426
Phone (616) 240-9044

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1083336424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 COCONUT DR",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494288722",
            "telephone_number": "616-885-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2874 PORT SHELDON ST STE E",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494267898",
            "telephone_number": "616-379-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA STIENSTRA LMSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "STIENSTRA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "616-885-2676",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudsonville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.