Matthew Werkman, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6851114051 Issued in MI

Practice address

640 3 Mile Rd NW Ste G
Grand Rapids, MI 49544-8209

Phone

(800) 693-1916

NPI assigned

Jan 17, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1376294892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8666 WALLINWOOD FARMS AVE",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289419",
            "telephone_number": "616-481-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 3 MILE RD NW STE G",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495448209",
            "telephone_number": "800-693-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERKMAN",
        "first_name": "MATTHEW",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851114051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Linn Wenzlaff, MSW
• Abigail Leigh Wenzlick, MD
• Thomas Stanley Wenzlick, MD
• Michael Shawn Werkema, M.D.
• Sophie Anna Werkhoven
• Brooke N Werlein, PHARMD
• Kirsten Werner, PA
• Lucas Stanislav Werner, MD
• Catherine Marie Wernet, PT
• Nancy Elaine Werneth, MS, CCC/SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.