Bethany J Vukusic, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801093529 Issued in MI

Practice address

15167 Briarwood St
Grand Haven, MI 49417-9194

Phone

(616) 990-3590

NPI assigned

Jan 26, 2012

Sex

Female

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)

Enrolled

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.

• Bethany Christian Services Inc.

  • Community/Behavioral Health Agency
  • Grand Rapids, MI
  • NPI 1528104643
  NPD (past)
• Kristine Koetje Ma, PC

  • Psychologist
  • Spring Lake, MI
  • NPI 1316010770
  NPD (past)

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1245501931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15167 BRIARWOOD ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494179194",
            "telephone_number": "616-990-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15167 BRIARWOOD ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494179194",
            "telephone_number": "616-990-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUKUSIC",
        "first_name": "BETHANY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-26",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Chapin Virta, MA CCC A
• Kenneth Wayne Vis, RPH
• Vitality Chiropractic Center PLC
• Vivante Counseling
• Seth Adam Vruggink, DDS
• Josko Vukusic
• Brenda Ann Vette Wachter, LMSW ACSW
• Larry Howard Wahl, D.O.
• Kora Wakefield
• Wal-Mart Stores East LP

• Clinical Social Worker in Grand Haven, MI
• Providers in Grand Haven, 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 Apr 16, 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.