Organization Active NPI

White Dove Consulting Group, PLLC

  • Social Worker
  • Holland, MI
National Provider Identifier
1316440712
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801100246 Issued in MI
Legal business name
WHITE DOVE CONSULTING GROUP, PLLC
Practice address
499 Century LN Ste 50
Holland, MI 49423
Phone
(616) 888-1405
Fax
(616) 994-8668
NPI assigned
Mar 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Dr. Susan Lynn Herrmann, MSW
Title
Owner
Phone
(616) 888-1405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 6801100246 MI Primary

Addresses

Primary practice location

499 Century LN Ste 50
Holland, MI 49423

Mailing address

PO Box 2123
Holland, MI 49422-2123
Phone (616) 888-1405

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1316440712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2123",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494222123",
            "telephone_number": "616-888-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 CENTURY LN STE 50",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "49423",
            "telephone_number": "616-888-1405",
            "fax_number": "616-994-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE DOVE CONSULTING GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "HERRMANN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-888-1405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801100246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.