Sandy Kemink, L.M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-00005096 Issued in IL

Practice address

44 E 8TH St Ste 230
Holland, MI 49423

Phone

(616) 613-6753

NPI assigned

Apr 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• 8TH Street Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Holland, MI
  • NPI 1811474554
  NPD (past) Authorized official

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1487879615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 E 8TH ST STE 230",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233561",
            "telephone_number": "616-613-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E 8TH ST STE 230",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "49423",
            "telephone_number": "616-613-6753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1531 S Grove Ave",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "600105211",
            "country_code": "US",
            "telephone_number": "847-381-2700 x114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMINK",
        "first_name": "SANDY",
        "credential": "L.M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-14",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-00005096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "36-4326442",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Keller
• Adriana Kelly
• Allison Kelly
• Kaitlyn Kelly
• Alexander James Kelsheimer, D.O.
• Richard Alan Kempf, MD
• Allie Kendall
• Janine Marie Kerkstra, PAC
• Judy K Kettring, CHW
• Kevin Maybury Counseling

• Clinical Social Worker in Holland, MI
• Providers in Holland, 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 Jul 12, 2018; 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.