Jamie Elise Vanderzwaag, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

669 Stocking Ave NW
Grand Rapids, MI 49504-5176

Phone

(616) 235-1480

NPI assigned

Oct 3, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1497479364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5022 RUBY RDG",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248658",
            "telephone_number": "616-403-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 STOCKING AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045176",
            "telephone_number": "616-235-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERZWAAG",
        "first_name": "JAMIE",
        "middle_name": "ELISE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Anne Vanderwoude
• Kyle Vanderwoude, DPT
• Lucille Yurko Vanderwoude, DNP
• Samuel Vanderwoude
• Alicia Ann Vanderzanden, AUD
• Leah Hope Vanderzwaag, RN BSN
• Melissa Jeanne Vanderzyden, LMSW
• Amber Vandeusen, LMSW
• Karen M Vandeusen, PHD
• Zachary Thomas Vandeveer, MD

• 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 3, 2022; 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.