Individual provider Active NPI

Whitney Diane McKinney, LMSW

  • Clinical Social Worker
  • Byron Center, MI
National Provider Identifier
1336947282
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095084 Issued in MI
Practice address
1239 76TH St SW Ste H4
Byron Center, MI 49315-7921
Phone
(616) 258-6270
NPI assigned
Mar 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 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 6801095084 MI
Clinical Social Worker 1041C0700X 6801095084 MI Primary

Addresses

Primary practice location

1239 76TH St SW Ste H4
Byron Center, MI 49315-7921

Mailing address

1048 Neland Ave SE
Grand Rapids, MI 49507-1441
Phone (616) 690-1364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • 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
I20250424001901 MI Practitioner - Clinical Social Worker 4082130885 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Rapids Counseling and Consultation CurrentSince Apr 1, 2025 Accepting new patients
Grand Rapids Counseling and Consultation LLC Social Worker CurrentSince Apr 1, 2025 Accepting new patients

Locations

1239 76th St SW
Ste H4
Byron Center, MI 49315
Phone (616) 258-6270

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": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1336947282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 NELAND AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495071441",
            "telephone_number": "616-690-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 76TH ST SW STE H4",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493157921",
            "telephone_number": "616-258-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "WHITNEY",
        "middle_name": "DIANE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-06",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801095084",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron Center, MI

Sources for this page

Verify at the official NPI Registry.