Organization Active NPI

Lavange Barth LLC

  • Social Worker
  • Grand Rapids, MI
National Provider Identifier
1124643689
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
LAVANGE BARTH LLC
Practice address
400 Monroe Ave NW Ste 400
Grand Rapids, MI 49503-1476
Phone
(616) 913-8590
NPI assigned
Jun 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Lavange Barth, LMSWNPI 1376739771
Title
Owner
Phone
(616) 913-8590

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
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

400 Monroe Ave NW Ste 400
Grand Rapids, MI 49503-1476

Mailing address

848 Graceland St NE
Grand Rapids, MI 49505-4376
Phone (616) 913-8590

National Provider Directory

National Provider Directory

Locations

400 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 913-8590

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": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1124643689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 GRACELAND ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054376",
            "telephone_number": "616-913-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MONROE AVE NW STE 400",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031476",
            "telephone_number": "616-913-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVANGE BARTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "BARTH",
        "authorized_official_first_name": "LAVANGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-913-8590",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.