Individual provider Active NPI

Yolanda Marie Butcher, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1366710790
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801076472 Issued in MI
Practice address
1400 Leonard Street NE
Life Guidance Services
Grand Rapids, MI 49503
Phone
(616) 954-1991
NPI assigned
Dec 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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 6801076472 MI Primary

Addresses

Primary practice location

1400 Leonard Street NE
Life Guidance Services
Grand Rapids, MI 49503

Mailing address

100 Cherry Street SE
Cherry Street Services, Inc.
Grand Rapids, MI 49503
Phone (616) 456-5140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120425000816 MI Practitioner - Clinical Social Worker 2062674708 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801076472MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind, P.a. Clinical CurrentSince Jan 1, 2026 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jul 23, 2024 Accepting new patients
Flowly Health Medical Group P a Clinical CurrentSince Sep 1, 2024 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 12, 2025 Accepting new patients
Tamade Inc. PastSince Nov 12, 2023 Accepting new patients
Downriver Mental Health Clinic PC Clinical Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

400 Renaissance Ctr
Detroit, MI 48243
Phone (248) 599-1582

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

2031 Rambling Rd
Kalamazoo, MI 49008
Phone (269) 344-9490

29777 Telegraph Rd
Ste 4200
Southfield, MI 48034
Phone (313) 312-9878

Organizations & group practices 6

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": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1366710790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHERRY STREET SE",
            "address_2": "CHERRY STREET SERVICES, INC.",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49503",
            "telephone_number": "616-456-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LEONARD STREET NE",
            "address_2": "LIFE GUIDANCE SERVICES",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49503",
            "telephone_number": "616-954-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "YOLANDA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801076472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.