Individual provider Active NPI

Alyssa Noe, LMSW

  • Clinical Social Worker
  • Holland, MI
National Provider Identifier
1447668397
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801097213 Issued in MI
Practice address
11335 James St
Holland, MI 49424-8627
Phone
(616) 396-0623
NPI assigned
Jul 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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 6801097213 MI Primary

Addresses

Primary practice location

11335 James St
Holland, MI 49424-8627

Mailing address

12044 Northpointe LN Apt 7
Holland, MI 49424-7721

Other names 1

  • Alyssa Voetberg Former name

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
I20190909001742 MI Practitioner - Clinical Social Worker 4981933454 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bethany Christian Services Inc. CurrentSince Aug 8, 2019 Accepting new patients
Bethany Christian Services, Inc CurrentSince Aug 8, 2019 Accepting new patients

Locations

1475 Robbins Rd
Ste 120
Grand Haven, MI 49417
Phone (616) 844-0690

901 Eastern Ave NE
Grand Rapids, MI 49503
Phone (616) 224-7617

12048 James St
Holland, MI 49424
Phone (616) 396-0623

11335 James St
Holland, MI 49424
Phone (616) 377-8725

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": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1447668397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12044 NORTHPOINTE LN APT 7",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494247721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11335 JAMES ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248627",
            "telephone_number": "616-396-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOE",
        "first_name": "ALYSSA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "VOETBERG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.