Individual provider Active NPI

Emily Warning, LLMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1477073542
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801101203 Issued in MI
Practice address
710 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2379
Phone
(616) 425-2176
Fax
(616) 552-1619
NPI assigned
Jun 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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 6801101203 MI Primary

Addresses

Primary practice location

710 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2379

Mailing address

1111 N Hampton Dr NE
Grand Rapids, MI 49505-5931
Phone (616) 915-1578

Other practice location 1

805 Leonard St NE
Grand Rapids, MI 49503-1138
Phone (616) 451-2021

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801101203MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Rapids Somatic Therapy LLC Clinical CurrentSince Feb 18, 2024 Accepting new patients
D.a. Blodgett - St. John'S Past Accepting new patients
D a Blodgett-St Johns Clinical PastSince Oct 10, 2015 Accepting new patients

Organizations & group practices 3

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": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1477073542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N HAMPTON DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055931",
            "telephone_number": "616-915-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462379",
            "telephone_number": "616-425-2176",
            "fax_number": "616-552-1619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Leonard St NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495031138",
            "country_code": "US",
            "telephone_number": "616-451-2021",
            "fax_number": "616-774-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNING",
        "first_name": "EMILY",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801101203",
            "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 Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.