Active NPI
Alice Hanlon
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1174305833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 669 Stocking Ave NW
Grand Rapids, MI 49504 - Phone
- (616) 235-1480
- NPI assigned
- Oct 17, 2023
- Last updated
- Oct 31, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
669 Stocking Ave NW
Grand Rapids, MI 49504
Mailing address
3802 N 14TH PL
Phoenix, AZ 85014-5111
Phone (616) 309-0100
Other practice location 1
3802 N 14th Pl
Phoenix, AZ 85014-5111
Phone (616) 309-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Interoperability endpoints
- alice.hanlonv.p1@direct.cherryhealth.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1174305833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3802 N 14TH PL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850145111",
"telephone_number": "616-309-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "669 STOCKING AVE NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49504",
"telephone_number": "616-235-1480"
}
],
"practiceLocations": [
{
"address_1": "3802 N 14th Pl",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850145111",
"country_code": "US",
"telephone_number": "616-309-0100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANLON",
"first_name": "ALICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-17",
"last_updated": "2024-10-31",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.