Desiree Andersen

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801096051 Issued in MI

Practice address

4120 Chicago Dr SW Ste 4
Grandville, MI 49418-1281

Phone

(616) 889-6602

NPI assigned

Apr 30, 2015

Last updated

Aug 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grand Rapids Integrative Therapy LLC

  • Clinical Social Worker
  • Grandville, MI
  • NPI 1790420990
  Medicare reassignment NPD Authorized official
• Andersen Counseling Services, LLC

  • Clinical Social Worker
  • Coopersville, MI
  • NPI 1881084333
  Authorized official Same address or phone

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1487031258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 CHICAGO DR SW STE 4",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 CHICAGO DR SW STE 4",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181281",
            "telephone_number": "616-889-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "DESIREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "6801096051",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Davidson, LLC (Next Adventure-Pediatric Occupational Therapy)
• Alyssa Davidson, LLC (Next Adventure-Pediatric Occupational Therapy)
• Alice Ambrose
• America's Best Contacts & Eyeglasses
• Sharifa Amini, DNP- FNP
• Kirk Andriessen, MSW
• Gina Charlene Ang, MD
• Cora Summer Anthony
• Kathryn Antor, M.A., CCC-SLP
• Apogee Therapy Center, LLC

• Clinical Social Worker in Grandville, MI
• Providers in Grandville, 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 Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.