Active NPI
Cted LLC
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1356392880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CTED LLC
- Practice address
- 1003 Parchment Dr SE
Grand Rapids, MI 49546-3664 - Phone
- (616) 957-7700
- Fax
- (616) 957-7773
- NPI assigned
- May 12, 2006
- Last updated
- May 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Robinson
- Title
- Credentialing Contact
- Phone
- (239) 791-6363
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary | |
| Registered Dietitian | 133V00000X | NU |
Addresses
Primary practice location
1003 Parchment Dr SE
Grand Rapids, MI 49546-3664
Mailing address
1003 Parchment Dr SE
Grand Rapids, MI 49546-3664
Phone (616) 957-7700
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621555200000",
"number": "1356392880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 PARCHMENT DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463664",
"telephone_number": "616-957-7700",
"fax_number": "616-957-7773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 PARCHMENT DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463664",
"telephone_number": "616-957-7700",
"fax_number": "616-957-7773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CTED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "CREDENTIALING CONTACT",
"authorized_official_telephone_number": "239-791-6363"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": false
}
],
"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 May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.