Individual provider Active NPI

Ashley Marie Troszok, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1407324106
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095920 Issued in MI
Practice address
3282 Clear Vista CT NE Ste B
Grand Rapids, MI 49525-9766
Phone
(616) 286-1905
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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 6801095920 MI Primary

Addresses

Primary practice location

3282 Clear Vista CT NE Ste B
Grand Rapids, MI 49525-9766

Mailing address

3282 Clear Vista CT NE Ste B
Grand Rapids, MI 49525-9766
Phone (616) 286-1905

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
I20200323000405 MI Practitioner - Clinical Social Worker 0244668416 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801095920MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Life Counseling and Wellness, LLC Clinical CurrentSince Jan 14, 2020 Accepting new patients

Locations

3282 Clear Vista Ct NE
Ste B
Grand Rapids, MI 49525
Phone (616) 286-1905

3280 Beltline Ct NE
Ste 100
Grand Rapids, MI 49525
Phone (616) 258-0687

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1407324106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3282 CLEAR VISTA CT NE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259766",
            "telephone_number": "616-286-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3282 CLEAR VISTA CT NE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259766",
            "telephone_number": "616-286-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROSZOK",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.