Individual provider Active NPI

Denise Cecelia Griggs, LMSW

  • Clinical Social Worker
  • Walker, MI
National Provider Identifier
1477641900
Registry record updated Jan 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801066157 Issued in MI
Practice address
4175 3 Mile Rd NW
Walker, MI 49534-1133
Phone
(616) 453-6100
Fax
(616) 453-6157
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 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 6801066157 MI Primary

Addresses

Primary practice location

4175 3 Mile Rd NW
Walker, MI 49534-1133

Mailing address

4175 3 Mile Rd NW
Walker, MI 49534-1133
Phone (616) 453-6100

Other identifiers 3

IdentifierTypeStateIssuer
8008934860OtherMIBCBS PIN #
165107OtherMIVALUE OPTIONS
GRIGG-0001OtherMICOMP CARE PROVIDER #

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
I20050228000709 MI Practitioner - Clinical Social Worker 6204889462 Practice locations: Walker, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4175 3 Mile Rd NW
Walker, MI 49534-1133
Phone (616) 453-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801066157MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Behavioral Health Partners PLLC Clinical PastSince Jul 25, 2019 Accepting new patients
Northwest Counseling Associates, PLLC Clinical Past Accepting new patients

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485561600000",
    "number": "1477641900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 3 MILE RD NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495341133",
            "telephone_number": "616-453-6100",
            "fax_number": "616-453-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 3 MILE RD NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495341133",
            "telephone_number": "616-453-6100",
            "fax_number": "616-453-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGGS",
        "first_name": "DENISE",
        "middle_name": "CECELIA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2017-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801066157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN #",
            "identifier": "8008934860",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "165107",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMP CARE PROVIDER #",
            "identifier": "GRIGG-0001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walker, MI

Sources for this page

Verify at the official NPI Registry.