Individual provider Active NPI

Kirk Vander Molen, LMSW

  • Clinical Social Worker
  • Ada, MI
National Provider Identifier
1477362887
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
293 Clements Mill CT SE
Ada, MI 49301-7701
Phone
(616) 443-7841
NPI assigned
Jan 1, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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 Primary

Addresses

Primary practice location

293 Clements Mill CT SE
Ada, MI 49301-7701

Mailing address

293 Clements Mill CT SE
Ada, MI 49301-7701
Phone (616) 443-7841

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
I20251017002106 MI Practitioner - Clinical Social Worker 1456848803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1876 Millins Ave NW
Walker, MI 49534-2439

293 Clements Mill CT SE
Ada, MI 49301-7701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seniorwell Counseling and Support Clinical CurrentSince Sep 15, 2025 Accepting new patients

Organizations & group practices 1

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": "1735689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1477362887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 CLEMENTS MILL CT SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493017701",
            "telephone_number": "616-443-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 CLEMENTS MILL CT SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493017701",
            "telephone_number": "616-443-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER MOLEN",
        "first_name": "KIRK",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-01",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, MI

Sources for this page

Verify at the official NPI Registry.