Mallory Christine Verkaik, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801111162 Issued in MI

Practice address

678 Front Ave NW Ste 100
Grand Rapids, MI 49504-5323

Phone

(616) 916-3711

Fax

(616) 825-6015

NPI assigned

Sep 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ready for Life

  • Counselor
  • Grand Rapids, MI
  • NPI 1851794713
  NPD (past)

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1104595073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 FRONT AVE NW STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045323",
            "telephone_number": "616-916-3711",
            "fax_number": "616-825-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 FRONT AVE NW STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045323",
            "telephone_number": "616-916-3711",
            "fax_number": "616-825-6015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7047 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Jenison",
            "state": "MI",
            "postal_code": "494289352",
            "country_code": "US",
            "telephone_number": "317-670-4904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERKAIK",
        "first_name": "MALLORY",
        "middle_name": "CHRISTINE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801111162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Margaret Verheek, MS CCC-SLP CBIS
• Rosemary Gale Verheul
• Ashley A Verhey, NP
• Leonard Herman Verhey, MD, PHD
• Veritas Integrated Psychiatric Care, PLLC
• Scott Verkaik
• Susan Kay Vermerris
• Anne C Vermeulen, FNP-C
• Christian L Vermeulen, DDS
• Jennifer Vermeulen

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.