Individual provider Active NPI

Rebecca Parrish, LLMSW-C

  • Clinical Social Worker
  • Holland, MI
National Provider Identifier
1245079698
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851118065 Issued in MI
Practice address
217 E 24TH St Ste 201
Holland, MI 49423-4973
Phone
(616) 217-9934
NPI assigned
May 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 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 6851118065 MI Primary

Addresses

Primary practice location

217 E 24TH St Ste 201
Holland, MI 49423-4973

Mailing address

217 E 24TH St Ste 201
Holland, MI 49423-4973
Phone (616) 217-9934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851118065MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Leadlight LLC CurrentSince May 26, 2024 Accepting new patients

Locations

217 E 24th St
Ste 201
Holland, MI 49423
Phone (616) 209-9204

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": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1245079698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E 24TH ST STE 201",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234973",
            "telephone_number": "616-217-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E 24TH ST STE 201",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234973",
            "telephone_number": "616-217-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "REBECCA",
        "credential": "LLMSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851118065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.