Esther Waddilove, L.M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801062884 Issued in MI

Practice address

770 Kenmoor Ave SE
Suite 202-a
Grand Rapids, MI 49546-8621

Phone

(616) 222-3090

Fax

(616) 957-1438

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr Marcia Hollingsworth, Ed.D, PLLC

  • Clinical Psychologist
  • Grand Rapids, MI
  • NPI 1366835589
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1225174709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 KENMOOR AVE SE",
            "address_2": "SUITE 202-A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468621",
            "telephone_number": "616-222-3090",
            "fax_number": "616-957-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 KENMOOR AVE SE",
            "address_2": "SUITE 202-A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468621",
            "telephone_number": "616-222-3090",
            "fax_number": "616-957-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDILOVE",
        "first_name": "ESTHER",
        "credential": "L.M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801062884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew L Waack, MD
• Martin J Waalkes
• Rebekah J Waalkes
• Ethan S Waara
• Roy W Waddell, M.D.
• Debra Wade Mahoney
• Brittney Wade
• Melissa S Wade, LMSW
• Shaneka Wade
• Sabrina Imran Wadood, DDS

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.