Individual provider Active NPI

Michaela Svoboda, LMSW, CAADC, CCS

  • Clinical Social Worker
  • Holland, MI
National Provider Identifier
1417252123
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
377 Lincoln Ave
Holland, MI 49423-3664
Phone
(616) 355-7095
NPI assigned
Jan 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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 MI Primary

Addresses

Primary practice location

377 Lincoln Ave
Holland, MI 49423-3664

Mailing address

483 Century LN
Holland, MI 49423-4286
Phone (616) 396-5284

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
I20130720000097 MI Practitioner - Clinical Social Worker 0749421568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Michigan Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne Parpas Counseling LLCGroup PAC ID 4880976562, 8 clinicians

Practice addresses (Care Compare)

1055 Gezon Pkwy SW
Integrative Health Consultants
Wyoming, MI 49509-9542
Phone (616) 773-2908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Parpas Counseling LLC CurrentSince Aug 1, 2024 Accepting new patients
Reach for Recovery, Inc. Past Accepting new patients

Locations

1055 Gezon Pkwy SW
#C
Wyoming, MI 49509
Phone (616) 773-2908

1055 Gezon Pkwy SW
Wyoming, MI 49509
Phone (616) 773-2908

1095 Gezon Pkwy SW
Wyoming, MI 49509
Phone (616) 324-0210

Organizations & group practices 2

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": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1417252123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 CENTURY LN",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234286",
            "telephone_number": "616-396-5284",
            "fax_number": "616-396-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 LINCOLN AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233664",
            "telephone_number": "616-355-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVOBODA",
        "first_name": "MICHAELA",
        "credential": "LMSW, CAADC, CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.