Carlos Del Valle, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801116834 Issued in MI

Practice address

5030 Corporate Exchange Blvd SE FL 2
Grand Rapids, MI 49512-5506

Phone

(616) 885-8202

NPI assigned

Dec 19, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1497227292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6722 34TH AVE",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494269093",
            "telephone_number": "616-885-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CORPORATE EXCHANGE BLVD SE FL 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495125506",
            "telephone_number": "616-885-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL VALLE",
        "first_name": "CARLOS",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-19",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801116834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanae Dekryger, OTR/L
• Lewis Dekryger, MD
• Stephanie Renae Dekryger, OTR/L
• Victoria R Dekryger
• Lewis Dekuiper, OD
• Juan Miguel Afable Dela Cruz, M.D.
• Suzanne Delacour
• Eric J Delamielleure, D.C.
• Caroline Delaney
• Michael Delaney, M.D.

• 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 Oct 22, 2024; 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.