Katie Elizabeth Achtyes, LMSW, CAADC
Individual provider Active NPI Clinical Social Worker · Grand Rapids, MI
NPI 1134429459 · NPPES record last updated Apr 27, 2011
Key facts
- NPI
- 1134429459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801090605 (MI)
- Practice address
- 201 Sheldon Blvd SE
Grand Rapids, MI 49503-4513 - Phone
- (616) 459-0255
- Fax
- (616) 242-6057
- NPI assigned
- Nov 2, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801090605 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Touchstone Innovare | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801090605 | MI | Yes |
Addresses
Primary practice location
201 Sheldon Blvd SE
Grand Rapids, MI 49503-4513
Mailing address
201 Sheldon Blvd SE
Grand Rapids, MI 49503-4513
Phone (616) 459-0255
Other providers in Grand Rapids, MI
- Accuquest Hearing Center, LLC
- Chaitanya Acharya
- Achieve Physical Therapy and Sports Rehab, LLC
- Travis Achterhof
- Eric D Achtyes
- Emily Ackerberg
- Alyssa Ackerman
- Laura Ackerman
- Shari L. Ackerman
- Aaron Jeremy Ackley
All providers in Grand Rapids, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.