Duane Bacchus, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851115519 Issued in MI

Practice address

327 Rumsey St SW
Grand Rapids, MI 49503-4935

Phone

(616) 819-6168

NPI assigned

Aug 28, 2023

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1134904295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 EMBRO DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495085104",
            "telephone_number": "616-238-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 RUMSEY ST SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034935",
            "telephone_number": "616-819-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCHUS",
        "first_name": "DUANE",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851115519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Babkowski, RDH
• Rebecca Ann Babon-Neuson, PA
• Makayla Babson
• Ahmed Jamal Aleas Babwi, MD
• Baby Beloved, Inc.
• Jennifer Bach, D.O.
• Joshua Bachand
• Colin David Bachinski, LMSW
• Elizabeth J. Bachler, CNP
• Kayla Bachman

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, 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 Aug 28, 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.