Individual provider Active NPI

Kacie J Grey, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1144598053
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801092169 Issued in MI
Practice address
4100 Lake Dr SE
Grand Rapids, MI 49546-8292
Phone
(616) 267-7414
NPI assigned
Dec 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801092169 MI Primary

Addresses

Primary practice location

4100 Lake Dr SE
Grand Rapids, MI 49546-8292

Mailing address

100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181127000371 MI Practitioner - Clinical Social Worker 9335493600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherry Street Services IncGroup PAC ID 6800707647, 58 clinicians
Spectrum Health Primary Care PartnersGroup PAC ID 4587568647, 2,283 clinicians

Practice addresses (Care Compare)

100 Cherry St SE
Grand Rapids, MI 49503-4526

4100 Lake Dr SE
Grand Rapids, MI 49546-8292

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801092169MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Street Services, Inc Clinical CurrentSince Nov 5, 2018 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Jan 1, 2026 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Jan 1, 2026 Accepting new patients
Cherry Street Services, Inc. Social Worker CurrentSince Nov 5, 2018 Accepting new patients
Unfrazzle Your Razzle LLC Clinical Current Accepting new patients
Cherry Street Health Services Past Accepting new patients

Locations

550 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 235-7272

2303 Kalamazoo Ave SE
Ste 200
Grand Rapids, MI 49507
Phone (616) 965-8379

4100 Lake Dr SE
Grand Rapids, MI 49546
Phone (616) 267-7400

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

421 Fountain St NE
Grand Rapids, MI 49503
Phone (616) 776-5120

1800 Tremont Blvd NW
Grand Rapids, MI 49504
Phone (616) 791-6593

669 Stocking Ave NW
Grand Rapids, MI 49504
Phone (616) 235-1480

100 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 965-8209

1003 N Lafayette St
Greenville, MI 48838
Phone (616) 225-9650

200 S Boltwood St
Hastings, MI 49058
Phone (269) 945-4220

21350 Kendaville Rd
Howard City, MI 49329
Phone (231) 937-4318

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

2929 Burlingame Ave SW
Wyoming, MI 49509
Phone (616) 965-8333

Interoperability endpoints

  • Direct secure messaging: kacie.grey.p1@direct.cherryhealth.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1144598053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC 845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LAKE DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468292",
            "telephone_number": "616-267-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREY",
        "first_name": "KACIE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.