Mallory Converse

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6851119795 Issued in MI

Practice address

238 Hoover Blvd Ste 30
Holland, MI 49423-3782

Phone

(616) 312-2989

NPI assigned

May 6, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mallory Bosma Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Emhpe Michigan PLLC

  • Clinical Social Worker
  • Holland, MI
  • NPI 1093420960
  NPD

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1184414914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2568 104TH AVE",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494646801",
            "telephone_number": "616-430-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 HOOVER BLVD STE 30",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233782",
            "telephone_number": "616-312-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONVERSE",
        "first_name": "MALLORY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-06",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851119795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "BOSMA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Timothy Conlon, DO
• Shannon Connell, PH.D.
• Susan Conrad, MSW
• Continuhealth
• Continuum Home Health Care
• Sarah Conway
• Wende Cook, LBSW
• Amy Lynn Cooke, RPH
• Catherine Ann Cooke, LMSW
• Laura E Coppersmith, P.T.A.

• Social Worker in Holland, MI
• Providers in Holland, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.