William J. Weitzel LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801011410 Issued in MI

Legal business name

WILLIAM J. WEITZEL LMSW

Practice address

4467 Cascade Rd SE
Suite 4469
Grand Rapids, MI 49546-3776

Phone

(616) 446-1873

NPI assigned

Apr 20, 2012

Organization subpart

No

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

Authorized official

Name

Mr. William James Weitzel, LMSWNPI 1851696447

Title

Owner

Phone

(616) 446-1873

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William James Weitzel, LMSW ACSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1851696447
  NPD (past) Authorized official

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1497012975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3396 HIDDEN HILLS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495469125",
            "telephone_number": "616-446-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4467 CASCADE RD SE",
            "address_2": "SUITE 4469",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463776",
            "telephone_number": "616-446-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J. WEITZEL LMSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "WEITZEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-446-1873",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801011410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gavin J Willette
• Jill Willey
• Kristin Sabin Willey, OTD, OTR/L
• William Blake Kooi (Blake Kooi Counseling)
• William C Padding, LMSW, Acsw, PC
• William Kim DDS PLLC
• William Parker PHD PC
• William R. Syverson D.D.S., P.C.
• Samantha Williams Al-Kharusy
• Ahnetra Williams

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, 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 Apr 20, 2012; 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.