Individual provider Active NPI

Sabrina Kristine-Tower Rohdy, MSW, LMSW

  • Clinical Social Worker
  • Kentwood, MI
National Provider Identifier
1194487579
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801111064 Issued in MI
Practice address
4600 Breton Rd SE Ste 102
Kentwood, MI 49508-5220
Phone
(616) 391-9700
NPI assigned
Oct 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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 6801111064 MI Primary

Addresses

Primary practice location

4600 Breton Rd SE Ste 102
Kentwood, MI 49508-5220

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Other practice location 1

2305 E Paris Ave SE Ste 203
Grand Rapids, MI 49546-2426
Phone (616) 816-1758

Other practice location 2

4175 Parkway Place Dr SW Ste 100
Grandville, MI 49418-2382
Phone (616) 371-5166

Other names 1

  • Sabrina Kristine-Tower Floros Former name

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
I20211028002659 MI Practitioner - Clinical Social Worker 4385032044 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stange Clinic, PC CurrentSince Jul 8, 2024 Accepting new patients

Locations

2305 East Paris Ave SE
Ste 203
Grand Rapids, MI 49546
Phone (616) 816-1758

4175 Parkway Place Dr SW
Ste 100
Grandville, MI 49418
Phone (616) 371-5166

Organizations & group practices 1

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": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1194487579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 BRETON RD SE STE 102",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495085220",
            "telephone_number": "616-391-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 E Paris Ave SE Ste 203",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495462426",
            "country_code": "US",
            "telephone_number": "616-816-1758",
            "fax_number": "616-333-7685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4175 Parkway Place Dr SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Grandville",
            "state": "MI",
            "postal_code": "494182382",
            "country_code": "US",
            "telephone_number": "616-371-5166",
            "fax_number": "616-333-7685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROHDY",
        "first_name": "SABRINA",
        "middle_name": "KRISTINE-TOWER",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801111064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABRINA",
            "last_name": "FLOROS",
            "middle_name": "KRISTINE-TOWER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kentwood, MI

Sources for this page

Verify at the official NPI Registry.