Peter Arkady Srutwa, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6851115025 Issued in MI

Practice address

700 Washington Ave Ste 220
Grand Haven, MI 49417-1462

Phone

(616) 842-6710

Fax

(616) 842-1103

NPI assigned

Oct 31, 2022

Last updated

Jan 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1255048161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WASHINGTON AVE STE 220",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171462",
            "telephone_number": "616-842-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WASHINGTON AVE STE 220",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171462",
            "telephone_number": "616-842-6710",
            "fax_number": "616-842-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "483 Century Ln",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494234286",
            "country_code": "US",
            "telephone_number": "616-396-5284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRUTWA",
        "first_name": "PETER",
        "middle_name": "ARKADY",
        "name_prefix": "Mr.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851115025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ann Spielmaker, MA, LLP
• Kurt D. Spieske, D.D.S., M.S.
• Margaret Ruth Spoelman, LPC
• Thomas G Spoelman, R.PH.
• Jillian Spofford
• Thaddeus P. Srutwa, M.D.
• Katharine St. Aubin, LCSW, CADC
• Nicole Stanley
• Start and Associates Psychological Support, LLC (Start and Associates Psychological Support)
• Toni Sue Start, LP

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

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