Active NPI
Grace Louise Fryling, LMSW
- Clinical Social Worker
- Caledonia, MI
National Provider Identifier
1255612248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801091443
- Practice address
- 9090 S Rodgers CT SE
Caledonia, MI 49316-8052 - Phone
- (616) 891-8770
- Fax
- (616) 891-3504
- NPI assigned
- Sep 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801091443 | MI | Primary |
Addresses
Primary practice location
9090 S Rodgers CT SE
Caledonia, MI 49316-8052
Mailing address
300 68TH St SE
Grand Rapids, MI 49548-6927
Phone (616) 455-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00018214 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1255612248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 68TH ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495486927",
"telephone_number": "616-455-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9090 S RODGERS CT SE",
"city": "CALEDONIA",
"state": "MI",
"postal_code": "493168052",
"telephone_number": "616-891-8770",
"fax_number": "616-891-3504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRYLING",
"first_name": "GRACE",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-02",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801091443",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00018214",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Caledonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.