Individual provider Active NPI

Rebecca R Dedoes, LMSW-C

  • Clinical Social Worker
  • Byron Center, MI
National Provider Identifier
1366132144
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801121809 Issued in MI
Practice address
7740 Byron Center Ave SW Ste 102
Byron Center, MI 49315-6929
Phone
(616) 367-5813
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801121809 MI Primary

Addresses

Primary practice location

7740 Byron Center Ave SW Ste 102
Byron Center, MI 49315-6929

Mailing address

7740 Byron Center Ave SW Ste 102
Byron Center, MI 49315-6929
Phone (616) 367-5813

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

State licenses

LicenseStateTypeSpecialty
6851116716MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dare to Be Counseling, LLC Clinical Current Accepting new patients
Riverside Counseling Professionals LLC Clinical PastSince Nov 10, 2024 Accepting new patients

Locations

233 Fulton St E
Ste 524
Grand Rapids, MI 49503
Phone (616) 259-7207

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1366132144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 BYRON CENTER AVE SW STE 102",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493156929",
            "telephone_number": "616-367-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 BYRON CENTER AVE SW STE 102",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493156929",
            "telephone_number": "616-367-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDOES",
        "first_name": "REBECCA",
        "middle_name": "R",
        "credential": "LMSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801121809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron Center, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.