Individual provider Active NPI

Benjamin Esh-Nauta, LMSW

  • Clinical Social Worker
  • Grand Haven, MI
National Provider Identifier
1194381814
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801106774 Issued in MI
Practice address
1309 Sheldon Rd
Grand Haven, MI 49417-2404
Phone
(616) 842-3600
Fax
(616) 847-5555
NPI assigned
May 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801099814 MI
Clinical Social Worker 1041C0700X 6801106774 MI Primary

Addresses

Primary practice location

1309 Sheldon Rd
Grand Haven, MI 49417-2404

Mailing address

300 Visser St
Spring Lake, MI 49456-2063
Phone (616) 502-5291

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
I20200513002173 MI Practitioner - Clinical Social Worker 3779914486 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801099814MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ben Esh-Nauta Current Accepting new patients
Trinity Health Grand Haven Hospital CurrentSince May 7, 2020 Accepting new patients

Locations

1309 Sheldon Rd
Grand Haven, MI 49417
Phone (616) 842-3600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1194381814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 VISSER ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562063",
            "telephone_number": "616-502-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 SHELDON RD",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172404",
            "telephone_number": "616-842-3600",
            "fax_number": "616-847-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESH-NAUTA",
        "first_name": "BENJAMIN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-17",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801099814",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.