Active NPI
Michael Towns-Wheatley, LMSW
- Clinical Social Worker
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801114537
- Practice address
- 790 Fuller Ave NE
Grand Rapids, MI 49503-1918 - Phone
- (616) 336-3909
- Fax
- (616) 336-8830
- NPI assigned
- Jan 24, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904014339 | VA | |
| Clinical Social Worker | 1041C0700X | 6801114537 | MI | Primary |
Addresses
Primary practice location
790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Mailing address
2180 Banner Dr SW
Wyoming, MI 49509-1924
Phone (997) 526-9993
Other practice location 1
4850 Mark Center Dr
Alexandria, VA 22311-1882
Phone (703) 746-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801114537 | MI | MD | Clinical Social Worker |
| 0904014339 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Interact of Michigan, Inc | Past | Accepting new patients |
Locations
8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
Organizations & group practices 3
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.
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kalamazoo, MI
- NPI 1760419691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1316445422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 BANNER DR SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495091924",
"telephone_number": "997-526-9993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 FULLER AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495031918",
"telephone_number": "616-336-3909",
"fax_number": "616-336-8830"
}
],
"practiceLocations": [
{
"address_1": "4850 Mark Center Dr",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223111882",
"country_code": "US",
"telephone_number": "703-746-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOWNS-WHEATLEY",
"first_name": "MICHAEL",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-24",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904014339",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801114537",
"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 Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.