Laura Velzen Triezenberg, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801059646 Issued in MI

Practice address

680 3 Mile Rd NW
Suite C
Grand Rapids, MI 49544-8218

Phone

(616) 647-3460

Fax

(616) 647-3467

NPI assigned

Jan 17, 2007

Last updated

Jun 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Spectrum Community Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Westland, MI
  • NPI 1164577391
  NPD (past)
• Spectrum Community Services

  • Home Health Agency
  • Westland, MI
  • NPI 1457117962
  NPD (past)
• Thresholds Inc

  • Case Management Agency
  • Grand Rapids, MI
  • NPI 1154403467
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1366594897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 3 MILE RD NW",
            "address_2": "SUITE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495448218",
            "telephone_number": "616-647-3460",
            "fax_number": "616-647-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 3 MILE RD NW",
            "address_2": "SUITE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495448218",
            "telephone_number": "616-647-3460",
            "fax_number": "616-647-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIEZENBERG",
        "first_name": "LAURA",
        "middle_name": "VELZEN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801059646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OC36175001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin D Triemstra, M.D.
• Daniel Savas Trierweiler, MD
• Katelyn Trierweiler, D.D.S.
• Laura R Trierweiler, OT
• Steven Neal Triesenberg, M.D.
• Rosemary F. Trimpe, RN
• Allyssa Trinh, RPH
• Trinity 30/60/100 (Living Well Adult Living Facility Afc)
• Trinity Chiropractic, PLLC
• Trinity Continuing Care Services (Sanctuary at St Marys)

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.