NPIMap

Organization Active NPI

Kerrie Van Weelden LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1366099368
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KERRIE VAN WEELDEN LMSW
Practice address
103 College Ave SE Ste 202
Grand Rapids, MI 49503-5945
Phone
(616) 285-5919
NPI assigned
Aug 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Ms. Kerrie Anne Van Weelden, LMSWNPI 1134149792
Title
Owner
Phone
(616) 285-5919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

103 College Ave SE Ste 202
Grand Rapids, MI 49503-5945

Mailing address

103 College Ave SE Ste 205
Grand Rapids, MI 49503-5945
Phone (616) 285-5919

Other identifiers 1

IdentifierTypeStateIssuer
6801086338OtherMISTATE LICENSE NUMBER

Other names 4

  • Kerrie Van Weelden LMSW, PLLC Doing business as
  • Nurtured Path Doing business as
  • Nurtured Path GR Doing business as
  • Nurtured Path PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

103 College Ave SE
Ste 202
Grand Rapids, MI 49503
Phone (269) 650-2136

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1366099368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 COLLEGE AVE SE STE 205",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035945",
            "telephone_number": "616-285-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COLLEGE AVE SE STE 202",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035945",
            "telephone_number": "616-285-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRIE VAN WEELDEN LMSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "VAN WEELDEN",
        "authorized_official_first_name": "KERRIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-285-5919",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "6801086338",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kerrie Van Weelden LMSW, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nurtured Path",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nurtured Path GR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nurtured Path PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 30, 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.

Verify at the official NPI Registry.