Individual provider Active NPI

Megan Leavitt

  • Clinical Social Worker
  • Holland, MI
National Provider Identifier
1396545638
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801119909 Issued in MI
Practice address
388 Garden Ave # 10
Holland, MI 49424-8998
Phone
(616) 822-1510
NPI assigned
Mar 17, 2025
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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 6801119909 MI Primary

Addresses

Primary practice location

388 Garden Ave # 10
Holland, MI 49424-8998

Mailing address

3236 Elmwood Park Dr
Hudsonville, MI 49426-1168
Phone (616) 822-1510

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
I20250604000286 MI Practitioner - Clinical Social Worker 5597274274 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801119909MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Burke Group Counseling & Consulting Professionals LLC Clinical CurrentSince Apr 15, 2025 Accepting new patients

Locations

756 Fulton St W
Grand Rapids, MI 49504
Phone (616) 222-0631

388 Garden Ave
#10
Holland, MI 49424
Phone (616) 822-1510

388 Garden Ave
Ste 110
Holland, MI 49424
Phone (616) 222-0631

4124 56th St SW
Ste 4
Wyoming, MI 49418
Phone (616) 222-0631

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1396545638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 ELMWOOD PARK DR",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261168",
            "telephone_number": "616-822-1510",
            "fax_number": "616-822-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 GARDEN AVE # 10",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248998",
            "telephone_number": "616-822-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-17",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.