Individual provider Active NPI

Rachel Bauer

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1255775714
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801093067 Issued in MI
Practice address
1324 Lake Dr SE Ste 5
Grand Rapids, MI 49506-1673
Phone
(616) 717-3935
Fax
(313) 221-8393
NPI assigned
Apr 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801093067 MI
Clinical Social Worker 1041C0700X 6801093067 MI Primary

Addresses

Primary practice location

1324 Lake Dr SE Ste 5
Grand Rapids, MI 49506-1673

Mailing address

1324 Lake Dr SE Ste 5
Grand Rapids, MI 49506-1673
Phone (616) 717-3935

Other practice location 1

2300 3 Mile Rd NE Ste 3
Grand Rapids, MI 49505-3956
Phone (616) 717-3935

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
I20151231001121 MI Practitioner - Clinical Social Worker 3779891957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1324 Lake Dr SE
Suite 5
Grand Rapids, MI 49506-1673
Phone (616) 717-3935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801093067MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Counseling Services, LLC Social Worker CurrentSince Nov 30, 2015 Accepting new patients
Enlightened Therapy, LLC Clinical CurrentSince Sep 28, 2021 Accepting new patients

Locations

2300 3 Mile Rd NE
Ste 3
Grand Rapids, MI 49505
Phone (616) 717-3935

1324 Lake Dr SE
Ste 5
Grand Rapids, MI 49506
Phone (517) 927-8688

574 Division Ave S
Ste 2C
Grand Rapids, MI 49503
Phone (616) 717-3935

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": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1255775714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 LAKE DR SE STE 5",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061673",
            "telephone_number": "616-717-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 LAKE DR SE STE 5",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061673",
            "telephone_number": "616-717-3935",
            "fax_number": "313-221-8393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 3 Mile Rd NE Ste 3",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495053956",
            "country_code": "US",
            "telephone_number": "616-717-3935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801093067",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.