Robert W Kopfensteiner Jr., LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801021028 Issued in MI

Practice address

3330 Claystone St SE
Grand Rapids, MI 49546-7716

Phone

(616) 942-8060

Fax

(616) 942-6690

NPI assigned

Jan 13, 2006

Sex

Male

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

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Claystone Clinical Associates PLCGroup PAC ID 1658387014, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Claystone Clinical Associates PLC

  • Psychiatry Physician
  • Grand Rapids, MI
  • NPI 1619927142

  Clinical

  Medicare reassignment Care Compare group NPD
• Sheridan Community Hospital

  • Emergency Medicine Physician
  • Sheridan, MI
  • NPI 1528090594
  Medicare reassignment
• Claystone Clinical Associates PLC

  • Psychiatry Physician
  • Grand Rapids, MI
  • NPI 1336668698
  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1386623643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30516",
            "address_2": "DEPT 6065",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489098016",
            "telephone_number": "616-532-8000",
            "fax_number": "616-532-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 CLAYSTONE ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467716",
            "telephone_number": "616-942-8060",
            "fax_number": "616-942-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPFENSTEINER",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801021028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholus Kopacki, PA
• Olivia Kopas, M.A. CCC-SLP
• John Harrison Kopchick, M.D.
• Krista Lynn Kopchick
• John S Kopec, MD
• Michael James Kopka I, MD
• Jessica Rae Kopmeyer, LMSW
• Polina Koptelova, PA-C
• Djana Korajac
• Emma Korfker

• 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 26, 2008; 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.