Amanda Graves, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6851119317 Issued in MI

Practice address

260 Jefferson Ave SE
Grand Rapids, MI 49503-4597

Phone

(616) 685-2700

NPI assigned

Sep 17, 2024

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1316774037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MANZANA CT NW APT 3D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495345784",
            "telephone_number": "918-906-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 JEFFERSON AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034597",
            "telephone_number": "616-685-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "427 Seminole Rd Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Norton Shores",
            "state": "MI",
            "postal_code": "494443747",
            "country_code": "US",
            "telephone_number": "231-777-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "AMANDA",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2024-09-17",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851119317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ruth Grassi
• Jeanne Marie Gratiot-Deans, MD
• Olivia Hansen Gratz, PHD
• Monica Joy Graveling, RBT
• Bethany Gravert, MA, LPC, SCL
• Claire Victoria Graves, M.A., LLPC
• Gray Reign Medical, PLLC
• Gray Space Nutrition LLC
• Adele Gray, D.D.S.
• Afriyie Makel Gray, DO

• Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.