Active NPI
Kelly Benzin
- Social Worker
- Grand Rapids, MI
National Provider Identifier
1447778923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 238 Elmwood St NE
Grand Rapids, MI 49505-4737 - Phone
- (616) 308-1192
- NPI assigned
- Sep 5, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
238 Elmwood St NE
Grand Rapids, MI 49505-4737
Mailing address
238 Elmwood St NE
Grand Rapids, MI 49505-4737
Phone (616) 308-1192
Other practice location 1
1965 3 Mile Rd NE
Grand Rapids, MI 49505
Phone (616) 920-1004
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1447778923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 ELMWOOD ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495054737",
"telephone_number": "616-308-1192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 ELMWOOD ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495054737",
"telephone_number": "616-308-1192"
}
],
"practiceLocations": [
{
"address_1": "1965 3 Mile Rd NE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "49505",
"country_code": "US",
"telephone_number": "616-920-1004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENZIN",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-05",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 12, 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.