Individual provider Active NPI

Robert Joseph Conrad, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1245676048
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095003 Issued in MI
Practice address
5020 E Beltline Ave NE Ste 202
Grand Rapids, MI 49525-6869
Phone
(616) 439-1866
NPI assigned
May 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 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 6801095003 MI Primary

Addresses

Primary practice location

5020 E Beltline Ave NE Ste 202
Grand Rapids, MI 49525-6869

Mailing address

2442 Albert Dr SE
Grand Rapids, MI 49506-4702
Phone (269) 208-6243

Other identifiers 1

IdentifierTypeStateIssuer
38-2272711OtherMIFED

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
I20181114003536 MI Practitioner - Clinical Social Worker 9436403177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Counseling LLCGroup PAC ID 7416354949, 20 clinicians

Practice addresses (Care Compare)

5020 E Beltline Ave NE
Suite 202
Grand Rapids, MI 49525-1077
Phone (616) 439-1866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801095003MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince May 7, 2021 Accepting new patients
Unity Counseling LLC Clinical CurrentSince Sep 14, 2021 Accepting new patients

Locations

5020 E Beltline Ave NE
Ste 202
Grand Rapids, MI 49525
Phone (616) 405-0637

710 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 425-1276

7333 Triangle Dr
Sterling Hts, MI 48314
Phone (248) 686-3347

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 2

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": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1245676048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 ALBERT DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064702",
            "telephone_number": "269-208-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 E BELTLINE AVE NE STE 202",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256869",
            "telephone_number": "616-439-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED",
            "identifier": "38-2272711",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.