Individual provider Active NPI

Katrina Joyce Cripps

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1255001137
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801121337 Issued in MI
Practice address
1939 S Division Ave.
Grand Rapids, MI 49507
Phone
(616) 247-3815
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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 6801121337 MI Primary

Addresses

Primary practice location

1939 S Division Ave.
Grand Rapids, MI 49507

Mailing address

1939 Division Ave S
Grand Rapids, MI 49507-2459
Phone (616) 247-3815

Other names 1

  • Katrina Harkema 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
I20260312003599 MI Practitioner - Clinical Social Worker 8921581448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duncan Lake Speech Therapy, LLCGroup PAC ID 6305258203, 3 clinicians
Supportive Care I of Michigan PCGroup PAC ID 9638554298, 19 clinicians

Practice addresses (Care Compare)

2450 44TH St SE
Suite 201
Kentwood, MI 49512-9081
Phone (616) 528-0870

330 Lincoln Ave
Iron River, MI 49935-8452
Phone (718) 298-4375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801121337MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Duncan Lake Speech Therapy, LLC CurrentSince Mar 4, 2026 Accepting new patients

Locations

2450 44th St SE
Ste 201
Kentwood, MI 49512
Phone (616) 224-3636

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": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1255001137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 DIVISION AVE S",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495072459",
            "telephone_number": "616-247-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 S DIVISION AVE.",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49507",
            "telephone_number": "616-247-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIPPS",
        "first_name": "KATRINA",
        "middle_name": "JOYCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801121337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "HARKEMA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.