Holly Bathrick LMSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HOLLY BATHRICK LMSW PLLC

Practice address

456 Plymouth Ave NE Ste B
Grand Rapids, MI 49505-6053

Phone

(616) 439-0079

NPI assigned

Sep 30, 2022

Organization subpart

No

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

Authorized official

Name

Holly BathrickNPI 1932599453

Title

Owner

Phone

(616) 439-0079

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Holly Bathrick, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1932599453
  NPD Authorized official
• Heidi Christine Kaltenbacher, MSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1457886202
  NPD (past)

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1104540343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 PEACHCREST CT NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495056434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 PLYMOUTH AVE NE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495056053",
            "telephone_number": "616-439-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY BATHRICK LMSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-30",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "BATHRICK",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-439-0079"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Ann Holloway
• Barbara A Hollowell
• Matthew Tyler Hollowell, MD, MPH
• Nancy Marie Hollowell, PA
• Rolf D. Hollstein, M.D.
• Asha Holman, RBT
• Charell Holman
• Harland T Holman, M.D.
• Kerianne Helen Holman, M.D.
• Bethane Holmes

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.