Abigail Spoelma, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801116549 Issued in MI

Practice address

201 W Washington Ave Ste 280
Zeeland, MI 49464-1074

Phone

(616) 350-0977

NPI assigned

Apr 24, 2024

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Headwaters Counseling, LLC

  • Clinical Psychologist
  • Zeeland, MI
  • NPI 1184172272
  Medicare reassignment NPD

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1104672823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W WASHINGTON AVE STE 280",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641074",
            "telephone_number": "616-350-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W WASHINGTON AVE STE 280",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641074",
            "telephone_number": "616-350-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOELMA",
        "first_name": "ABIGAIL",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801116549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spectrum Health Primary Care Partners
• Spectrum Health Primary Care Partners
• Spectrum Health Primary Care Partners
• Danielle Diane Spilotro, MD
• Paul James Spilotro, MD
• Dana Staat, PHARMD
• Emma R Staggs
• Gina Start, LMSW
• Craig Edward Stasio, P.T.
• State Street Smiles PLLC

• Clinical Social Worker in Zeeland, MI
• Providers in Zeeland, 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 Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.