Active NPI
Transition Pathways,Inc
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1467775668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801097806
- Legal business name
- TRANSITION PATHWAYS,INC
- Practice address
- 3355 Eagle Park Dr NE
Ste 107
Grand Rapids, MI 49525-7004 - Phone
- (616) 666-9921
- Fax
- (866) 222-8422
- NPI assigned
- Mar 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David C. Schroeder, LMSW
- Title
- President/Owner
- Phone
- (616) 666-9921
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801097806 | MI | Primary |
Addresses
Primary practice location
3355 Eagle Park Dr NE
Ste 107
Grand Rapids, MI 49525-7004
Mailing address
3355 Eagle Park Dr NE
Ste 107
Grand Rapids, MI 49525-7004
Phone (616) 666-9921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3355 Eagle Park Dr NE
Ste 107
Grand Rapids, MI 49525
Phone (616) 666-9921
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1104840537
-
- Chiropractor
- Grand Rapids, MI
- NPI 1851495840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435017600000",
"number": "1467775668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 EAGLE PARK DR NE",
"address_2": "STE 107",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495257004",
"telephone_number": "616-666-9921",
"fax_number": "866-222-8422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 EAGLE PARK DR NE",
"address_2": "STE 107",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495257004",
"telephone_number": "616-666-9921",
"fax_number": "866-222-8422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANSITION PATHWAYS,INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-02",
"last_updated": "2015-06-23",
"status": "A",
"authorized_official_last_name": "SCHROEDER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "616-666-9921",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801097806",
"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 Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.