Individual provider Active NPI

Ada M Brosier, LMSW

  • Social Worker
  • Greenville, MI
National Provider Identifier
1386901163
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801092405 Issued in MI
Practice address
309 1/2 S Lafayette St Ste 202
Greenville, MI 48838-1967
Phone
(616) 835-9292
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 5

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.

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
I20200706003134 MI Practitioner - Clinical Social Worker 0244653418 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801092405MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly B Lavender, LLC Social Worker CurrentSince Feb 1, 2023 Accepting new patients
Counseling Center of West Michigan, LLC CurrentSince May 1, 2020 Accepting new patients
Pine Rest Christian Mental Health Services Past Accepting new patients
Pine Rest Christian Mental Health Services Past Accepting new patients
Virtuwell Therapy, LLC PastSince Feb 4, 2024 Accepting new patients

Locations

360 E Beltline Ave NE
Ste 100
Grand Rapids, MI 49506
Phone (616) 566-1021

333 Bridge St NW
Ste 1120
Grand Rapids, MI 49504
Phone 61680536601005

309 S Lafayette St
Ste 202
Greenville, MI 48838
Phone (616) 232-6935

65 S Main St
Ste A
Rockford, MI 49341

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801092405 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

309 1/2 S Lafayette St Ste 202
Greenville, MI 48838-1967

Mailing address

9080 Lincoln Lake Rd NE
Greenville, MI 48838-8351

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 7, 2023.

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1386901163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9080 LINCOLN LAKE RD NE",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488388351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 1/2 S LAFAYETTE ST STE 202",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381967",
            "telephone_number": "616-835-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSIER",
        "first_name": "ADA",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801092405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

Verify at the official NPI Registry.