Phillip Dean Hamberg, LMFT LMSW LICENSED M

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801014344 Issued in MI

Practice address

1000 East Paris SE
East Paris Medical Building Suite 140
Grand Rapids, MI 49546

Phone

(616) 957-2416

Fax

(616) 669-1717

NPI assigned

May 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1245445345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EAST PARIS SE",
            "address_2": "EAST PARIS MEDICAL BUILDING SUITE 140",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-957-2416",
            "fax_number": "616-669-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EAST PARIS SE",
            "address_2": "EAST PARIS MEDICAL BUILDING SUITE 140",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-957-2416",
            "fax_number": "616-669-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBERG",
        "first_name": "PHILLIP",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "LMFT LMSW LICENSED M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801014344",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101005552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy R Halverson, LPN
• Halvorson & Hembrough D.D.S, .M.S., PC
• Jeffrey P. Halvorson, D.D.S, M.S.
• Erica-Jean Ham
• Hussein Jamil Hamade
• Terence Andrew Hambleton, LMSW
• Jodi L Hamblin, M.D.
• Haneen Hamed, SLP
• Maged S Hamed, MD
• Yousra Hamed, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.