Patrick Schaafsma, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801098375 Issued in MI

Practice address

17251 Hidden Treasure Dr
West Olive, MI 49460-9515

Phone

(616) 239-2502

Fax

(616) 369-5779

NPI assigned

Dec 1, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1487028510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17251 HIDDEN TREASURE DR",
            "city": "WEST OLIVE",
            "state": "MI",
            "postal_code": "494609515",
            "telephone_number": "616-634-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17251 HIDDEN TREASURE DR",
            "city": "WEST OLIVE",
            "state": "MI",
            "postal_code": "494609515",
            "telephone_number": "616-239-2502",
            "fax_number": "616-369-5779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6140 28th St SE Ste 105",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495466938",
            "country_code": "US",
            "telephone_number": "616-227-0585",
            "fax_number": "616-253-8945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "385 Leonard St NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495031129",
            "country_code": "US",
            "telephone_number": "616-389-2695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17251 Hidden Treasure Dr",
            "address_purpose": "LOCATION",
            "city": "West Olive",
            "state": "MI",
            "postal_code": "494609515",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAAFSMA",
        "first_name": "PATRICK",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-01",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "105520",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "6801098375",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801098375",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in West Olive, MI
• Providers in West Olive, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.