Active NPI
Andrianna Maria McKendrick
- Social Worker
- Grand Rapids, MI
National Provider Identifier
1346973989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2172 Dean Lake Ave NE
Grand Rapids, MI 49505-4444 - Phone
- (616) 774-3740
- Fax
- (616) 774-3842
- NPI assigned
- Jul 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
2172 Dean Lake Ave NE
Grand Rapids, MI 49505-4444
Mailing address
2172 Dean Lake Ave NE
Grand Rapids, MI 49505-4444
Phone (616) 774-3740
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D a Blodgett-St Johns | Single Specialty | Current | Accepting new patients |
Locations
2172 Dean Lake Ave NE
Grand Rapids, MI 49505
Phone (616) 451-2021
805 Leonard St NE
Grand Rapids, MI 49503
Phone (616) 451-2021
Organizations & group practices 1
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": "1656633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1346973989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2172 DEAN LAKE AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495054444",
"telephone_number": "616-774-3740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2172 DEAN LAKE AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495054444",
"telephone_number": "616-774-3740",
"fax_number": "616-774-3842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENDRICK",
"first_name": "ANDRIANNA",
"middle_name": "MARIA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-01",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"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 Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.