Individual provider Active NPI

Taylor Elizabeth Dent, LMSW

  • Social Worker
  • Grand Rapids, MI
National Provider Identifier
1255948063
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801117286 Issued in MI
Practice address
5270 Northland Dr NE Ste B
Grand Rapids, MI 49525-1073
Phone
(616) 344-4785
NPI assigned
Sep 25, 2020
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801117286 MI Primary

Addresses

Primary practice location

5270 Northland Dr NE Ste B
Grand Rapids, MI 49525-1073

Mailing address

11 N Clover St
Kent City, MI 49330-9748
Phone (231) 349-4555

Other practice location 1

110 Sanborn Ave Ste A
Big Rapids, MI 49307-1769
Phone (616) 344-4785

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801117286MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nowak Counseling, LLC Social Worker PastSince May 1, 2024 Accepting new patients
Redmond Counseling LLC Social Worker Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1255948063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N CLOVER ST",
            "city": "KENT CITY",
            "state": "MI",
            "postal_code": "493309748",
            "telephone_number": "231-349-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 NORTHLAND DR NE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251073",
            "telephone_number": "616-344-4785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Sanborn Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Big Rapids",
            "state": "MI",
            "postal_code": "493071769",
            "country_code": "US",
            "telephone_number": "616-344-4785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENT",
        "first_name": "TAYLOR",
        "middle_name": "ELIZABETH",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801117286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.