Individual provider Active NPI

Rachel Lucile Bekkering, LLMSW

  • Clinical Social Worker
  • West Olive, MI
National Provider Identifier
1174148217
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801107207 Issued in MI
Practice address
12130 Fillmore St
West Olive, MI 49460-8985
Phone
(616) 638-7591
NPI assigned
Jun 15, 2020
Last updated
Jun 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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 6801107207 MI Primary

Addresses

Primary practice location

12130 Fillmore St
West Olive, MI 49460-8985

Mailing address

7916 Fillmore St
Zeeland, MI 49464-9041
Phone (517) 281-2696

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rbekkering@miottawa.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • 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
I20250425001633 MI Practitioner - Clinical Social Worker 1951827609 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801107207MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ottawa CurrentSince Feb 15, 2025 Accepting new patients
County of Ottawa CurrentSince Feb 15, 2025 Accepting new patients
Ottawa County CMH Past Accepting new patients

Locations

1111 Fulton Ave
Grand Haven, MI 49417
Phone (616) 842-5350

12265 James St
Holland, MI 49424
Phone (616) 392-1873

Interoperability endpoints

  • Direct secure messaging: rbekkering@miottawa.org

Organizations & group practices 3

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": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1174148217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 FILLMORE ST",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494649041",
            "telephone_number": "517-281-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12130 FILLMORE ST",
            "city": "WEST OLIVE",
            "state": "MI",
            "postal_code": "494608985",
            "telephone_number": "616-638-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEKKERING",
        "first_name": "RACHEL",
        "middle_name": "LUCILE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801107207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbekkering@miottawa.org",
            "affiliation": "N",
            "endpointDescription": "Personal Email at OCCMH",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12130 Fillmore St",
            "city": "West Olive",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494608985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Olive, MI

Sources for this page

Verify at the official NPI Registry.