Individual provider Active NPI

Lesley Nicole Menhart, MSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1225217391
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801067900 Issued in MI
Practice address
534 Fountain St NE
Grand Rapids, MI 49503-3422
Phone
(616) 456-1178
Fax
(616) 456-1324
NPI assigned
Oct 25, 2007
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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 6801067900 MI Primary

Addresses

Primary practice location

534 Fountain St NE
Grand Rapids, MI 49503-3422

Mailing address

25 Sheldon Blvd SE
Grand Rapids, MI 49503-4209
Phone (616) 459-7062

Other names 1

  • Lesley Nicole Turner 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
I20040930000408 MI Practitioner - Clinical Social Worker 9436128048 Practice locations: Grand Rapids, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

534 Fountain St NE
Grand Rapids, MI 49503-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801067900MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Counseling Associates, PLLC Clinical Past Accepting new patients
Bloom Behavioral Health Partners PLLC Clinical PastSince Jul 25, 2019 Accepting new patients
Ywca West Central Michigan Clinical PastSince Dec 13, 2014 Accepting new patients

Organizations & group practices 3

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": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1225217391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SHELDON BLVD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034209",
            "telephone_number": "616-459-7062",
            "fax_number": "616-459-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 FOUNTAIN ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033422",
            "telephone_number": "616-456-1178",
            "fax_number": "616-456-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENHART",
        "first_name": "LESLEY",
        "middle_name": "NICOLE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801067900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLEY",
            "last_name": "TURNER",
            "middle_name": "NICOLE",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.