Individual provider Active NPI

Betsy Joy Parolini, MSW,CSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1215054739
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801067923 Issued in MI
Practice address
1000 Parchment Dr SE
Psychology Associates of Grand Rapids, PC
Grand Rapids, MI 49546
Phone
(616) 957-9112
Fax
(616) 957-2409
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801067923 MI
Clinical Social Worker 1041C0700X 6801067923 MI Primary

Addresses

Primary practice location

1000 Parchment Dr SE
Psychology Associates of Grand Rapids, PC
Grand Rapids, MI 49546

Mailing address

1000 Parchment Dr. SE
Psychology Associates of Grand Rapids, PC
Grand Rapids, MI 49546
Phone (616) 957-9112

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
I20130321000212 MI Practitioner - Clinical Social Worker 2668530726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Parchment Dr SE
Grand Rapids, MI 49546-3663
Phone (616) 957-9112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Associates of Grand Rapids PC Clinical CurrentSince Feb 15, 2013 Accepting new patients
Psychology Associates of Grand Rapids PC CurrentSince Feb 15, 2013 Accepting new patients

Locations

1000 Parchment Dr SE
Grand Rapids, MI 49546
Phone (616) 957-9112

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215054739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PARCHMENT DR. SE",
            "address_2": "PSYCHOLOGY ASSOCIATES OF GRAND RAPIDS, PC",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-957-9112",
            "fax_number": "616-957-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PARCHMENT DR SE",
            "address_2": "PSYCHOLOGY ASSOCIATES OF GRAND RAPIDS, PC",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-957-9112",
            "fax_number": "616-957-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAROLINI",
        "first_name": "BETSY",
        "middle_name": "JOY",
        "credential": "MSW,CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801067923",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801067923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.