Individual provider Active NPI

Joseph Paul

  • Social Worker
  • Grandville, MI
National Provider Identifier
1194139055
Registry record updated Jul 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
L262731 Issued in MI
Practice address
4565 Wilson Ave SW Ste 4a
Grandville, MI 49418
Phone
(517) 376-0774
NPI assigned
Jun 18, 2014
Last updated
Jul 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X L262731 MI Primary

Addresses

Primary practice location

4565 Wilson Ave SW Ste 4a
Grandville, MI 49418

Mailing address

500 Cascade West Pkwy SE Ste 240
Grand Rapids, MI 49546-2166
Phone (616) 591-9000

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
I20250408002302 MI Practitioner - Clinical Social Worker 1355865635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4301 Canal Ave SW
Suite I
Grandville, MI 49418-2667
Phone (517) 376-0774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L262731MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cultivate Counseling Services LLC CurrentSince Mar 14, 2025 Accepting new patients
Grand Rapids Therapy Group Inc PastSince Sep 28, 2025 Accepting new patients

Locations

4301 Canal Ave SW
Ste I
Grandville, MI 49418
Phone (517) 376-0774

Organizations & group practices 2

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530921600000",
    "number": "1194139055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CASCADE WEST PKWY SE STE 240",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462166",
            "telephone_number": "616-591-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 WILSON AVE SW STE 4A",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "49418",
            "telephone_number": "517-376-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2018-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "L262731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandville, MI

Sources for this page

Verify at the official NPI Registry.