Individual provider Active NPI

Caitlyn Marie Nyhuis, LMSW

  • Clinical Social Worker
  • Holland, MI
National Provider Identifier
1104507557
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851114906 Issued in MI
Practice address
238 Hoover Blvd Ste 10
Holland, MI 49423-3755
Phone
(616) 591-9000
Fax
(616) 591-9060
NPI assigned
Jul 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851114906 MI Primary

Addresses

Primary practice location

238 Hoover Blvd Ste 10
Holland, MI 49423-3755

Mailing address

238 Hoover Blvd Ste 10
Holland, MI 49423-3755
Phone (616) 890-6871

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
I20250804000430 MI Practitioner - Clinical Social Worker 9638687411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Wellness Services LLCGroup PAC ID 5193232064, 3 clinicians

Practice addresses (Care Compare)

1401 60TH St SE
Suite B
Kentwood, MI 49508-7065
Phone (616) 238-6690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851114906MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Wellness Services LLC CurrentSince Jun 3, 2025 Accepting new patients
Grand Rapids Therapy Group Inc PastSince Aug 27, 2023 Accepting new patients

Locations

1401 60th St SE
Ste B
Kentwood, MI 49508
Phone (616) 238-6690

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": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1104507557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 HOOVER BLVD STE 10",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233755",
            "telephone_number": "616-890-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 HOOVER BLVD STE 10",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233755",
            "telephone_number": "616-591-9000",
            "fax_number": "616-591-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYHUIS",
        "first_name": "CAITLYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851114906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.