Individual provider Active NPI

Zenn Timmer, LMSW

  • Clinical Social Worker
  • Grant, MI
National Provider Identifier
1407312739
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801109015 Issued in MI
Practice address
331 E State Rd RM N8
Grant, MI 49327-8504
Phone
(318) 342-3762
Fax
(231) 834-5186
NPI assigned
Feb 12, 2019
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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 6801109015 MI Primary

Addresses

Primary practice location

331 E State Rd RM N8
Grant, MI 49327-8504

Mailing address

520 Cobb St
Cadillac, MI 49601-2588
Phone (231) 876-6527

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
I20210302000520 MI Practitioner - Clinical Social Worker 9133535008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Ferris State College - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope and Wholeness Psychology Center LLCGroup PAC ID 6901175082, 18 clinicians

Practice addresses (Care Compare)

503 Century LN
Suite 2
Holland, MI 49423-4318
Phone (616) 795-0298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope & Wholeness Psychology Center, LLC CurrentSince May 26, 2025 Accepting new patients

Locations

503 Century Ln
Ste 2
Holland, MI 49423
Phone (616) 295-8284

1877 Georgetown Center Dr
Jenison, MI 49428
Phone (616) 287-4330

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": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1407312739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012588",
            "telephone_number": "231-876-6527",
            "fax_number": "231-876-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 E STATE RD RM N8",
            "city": "GRANT",
            "state": "MI",
            "postal_code": "493278504",
            "telephone_number": "318-342-3762",
            "fax_number": "231-834-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMER",
        "first_name": "ZENN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-12",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801109015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grant, MI

Sources for this page

Verify at the official NPI Registry.