Individual provider Active NPI

Kristie L Dilaura, LMSW

  • Clinical Social Worker
  • Kentwood, MI
National Provider Identifier
1477990711
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801086937 Issued in MI
Practice address
2060 East Paris SE
Suite 100
Kentwood, MI 49546-6113
Phone
(616) 946-6100
Fax
(616) 956-6637
NPI assigned
May 28, 2013
Last updated
May 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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 6801086937 MI Primary

Addresses

Primary practice location

2060 East Paris SE
Suite 100
Kentwood, MI 49546-6113

Mailing address

2060 East Paris SE
Suite 100
Kentwood, MI 49546-6113
Phone (616) 946-6100

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
I20220314001320 MI Practitioner - Clinical Social Worker 5294120085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lora K Grabow LLCGroup PAC ID 8022535871, 3 clinicians

Practice addresses (Care Compare)

2020 Raybrook St SE
Suite 306
Grand Rapids, MI 49546-7717
Phone (616) 446-0637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Institute of Health PC CurrentSince Jan 1, 2022 Accepting new patients
Lora K Grabow LLC CurrentSince Apr 8, 2025 Accepting new patients

Locations

2020 Raybrook St SE
Ste 306
Grand Rapids, MI 49546
Phone (616) 259-5444

2060 East Paris Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 464-4620

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1477990711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 EAST PARIS SE",
            "address_2": "SUITE 100",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495466113",
            "telephone_number": "616-946-6100",
            "fax_number": "616-956-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 EAST PARIS SE",
            "address_2": "SUITE 100",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495466113",
            "telephone_number": "616-946-6100",
            "fax_number": "616-956-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILAURA",
        "first_name": "KRISTIE",
        "middle_name": "L",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

Verify at the official NPI Registry.