Organization Active NPI

Pamela Devries Grzech LMSW LLC

  • Clinical Social Worker
  • Traverse City, MI
National Provider Identifier
1124860135
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PAMELA DEVRIES GRZECH LMSW LLC
Practice address
3967 Sherwood Forest Dr
Traverse City, MI 49686-6317
Phone
(231) 338-6173
NPI assigned
Jun 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Pamela Rose-Devries Grzech, LMSWNPI 1144840752
Title
Owner
Phone
(231) 338-6173

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3967 Sherwood Forest Dr
Traverse City, MI 49686-6317

Mailing address

PO Box 121
Acme, MI 49610-0121
Phone (231) 338-6173

National Provider Directory

National Provider Directory

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": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1124860135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121",
            "city": "ACME",
            "state": "MI",
            "postal_code": "496100121",
            "telephone_number": "231-338-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3967 SHERWOOD FOREST DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496866317",
            "telephone_number": "231-338-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA DEVRIES GRZECH LMSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "GRZECH",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ROSE-DEVRIES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-338-6173",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.