Individual provider Active NPI

Alissa Marie Dannah

  • Clinical Social Worker
  • Holland, MI
National Provider Identifier
1174111793
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
483 Century LN
Holland, MI 49423-4286
Phone
(616) 396-5284
NPI assigned
Jan 8, 2021
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

483 Century LN
Holland, MI 49423-4286

Mailing address

385 Leonard St NE
Grand Rapids, MI 49503-1129

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
I20250324000371 MI Practitioner - Clinical Social Worker 6608398300 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reach for Recovery, Inc. Clinical CurrentSince Feb 28, 2025 Accepting new patients
Counseling Center of West Michigan, LLC CurrentSince Mar 21, 2025 Accepting new patients
Reach for Recovery, Inc. Clinical CurrentSince Feb 28, 2025 Accepting new patients
Metropolitan Hospital CurrentSince Jul 1, 2025 Accepting new patients

Locations

325 84th St SW
Ste 102
Byron Center, MI 49315

325 84th St SW
Ste 103
Byron Center, MI 49315

1310 E Beltline Ave SE
Grand Rapids, MI 49506
Phone (616) 252-1500

333 Bridge St NW
Ste 1120
Grand Rapids, MI 49504
Phone 61680536601005

360 E Beltline Ave NE
Ste 100
Grand Rapids, MI 49506
Phone (616) 560-1562

483 Century Ln
Holland, MI 49423
Phone (616) 396-5284

65 S Main St
Ste A
Rockford, MI 49341

2215 44th St SW
Wyoming, MI 49519
Phone (616) 252-8300

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1174111793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 LEONARD ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 CENTURY LN",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234286",
            "telephone_number": "616-396-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNAH",
        "first_name": "ALISSA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.