Active NPI
Nicole Erin Burmania, LLBSW, MSW
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1447525332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 685208961
- Practice address
- Pine Rest Christian Mental Health Services
300 68TH Street SE
Grand Rapids, MI 49548 - Phone
- (616) 455-5000
- Fax
- (616) 281-6459
- NPI assigned
- Mar 12, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 680109276 | MI | |
| Clinical Social Worker | 1041C0700X | 685208961 | MI | Primary |
Addresses
Primary practice location
Pine Rest Christian Mental Health Services
300 68TH Street SE
Grand Rapids, MI 49548
Mailing address
300 68TH Street SE
Grand Rapids, MI 49548
Phone (616) 455-5000
Other names 1
- Nicole Erin Devries
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 680109276 | MI | MD | Clinical Social Worker |
| 685208961 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1447525332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 68TH STREET SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49548",
"telephone_number": "616-455-5000",
"fax_number": "616-281-6459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PINE REST CHRISTIAN MENTAL HEALTH SERVICES",
"address_2": "300 68TH STREET SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49548",
"telephone_number": "616-455-5000",
"fax_number": "616-281-6459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURMANIA",
"first_name": "NICOLE",
"middle_name": "ERIN",
"name_prefix": "Mrs.",
"credential": "LLBSW, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-12",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "680109276",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "685208961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "DEVRIES",
"middle_name": "ERIN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.