Desirae Grunwell, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801104634 Issued in MI

Practice address

3323 Shattuck Rd Ste 1
Saginaw, MI 48603-3184

Phone

(989) 475-4171

Fax

(989) 393-6021

NPI assigned

Jun 12, 2019

Last updated

Aug 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Saginaw Valley Medical College - NLG, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Great Lakes Bay Health CentersGroup PAC ID 2466369046, 85 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Great Lakes Bay Health Centers

  • Obstetrics & Gynecology Physician
  • Saginaw, MI
  • NPI 1871684761
  Medicare reassignment Care Compare group NPD
• Great Lakes Bay Health Centers

  dba Great Lakes Bay Health Centers Integrated Care Midland

  • Federally Qualified Health Center (FQHC)
  • Midland, MI
  • NPI 1609609536
  NPD
• McDowell Healing Arts Center LLC

  • Clinical Social Worker
  • Saginaw, MI
  • NPI 1669839338
  NPD (past)

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596931200000",
    "number": "1376102483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 SHATTUCK RD STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033184",
            "telephone_number": "989-475-4171",
            "fax_number": "989-393-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3323 SHATTUCK RD STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033184",
            "telephone_number": "989-475-4171",
            "fax_number": "989-393-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNWELL",
        "first_name": "DESIRAE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2020-08-09",
        "certification_date": "2020-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801104634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuching Sun Groya, OTR
• Grozi, Inc
• Braelyn Grubb
• Abigail Lynn Grudzinski
• Breonna Gruno
• Ethan Patrick-James Grzegorczyk
• Kayla Grzegorczyk, RDH
• Anna Grzenia
• Cecille Guarnes, M.D
• Chalapathirao V Gudipati, MD

• Clinical Social Worker in Saginaw, MI
• Providers in Saginaw, 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 Aug 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.