Individual provider Active NPI

Michelle Vanderheide, LMSW

  • Clinical Social Worker
  • Caledonia, MI
National Provider Identifier
1508495722
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801098432 Issued in MI
Practice address
3220 68TH St SE
Caledonia, MI 49316-7466
Phone
(166) 330-0890
NPI assigned
Apr 8, 2020
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801098432 MI Primary

Addresses

Primary practice location

3220 68TH St SE
Caledonia, MI 49316-7466

Mailing address

6824 Rivers Edge LN
Middleville, MI 49333-9184

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200612002555 MI Practitioner - Clinical Social Worker 6507288982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7101 Broadmoor Ave SE
Suite B
Caledonia, MI 49316-7330
Phone (616) 330-0890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801098432MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Van Ryn Therapies CurrentSince Jan 14, 2024 Accepting new patients
Vanderheide Counseling LLC Clinical CurrentSince Jul 12, 2022 Accepting new patients
Striving2Thriving Clinical PastSince Oct 5, 2021 Accepting new patients
Hoxworth Counseling Services, LLC Clinical PastSince Mar 2, 2022 Accepting new patients

Locations

3220 68th St SE
Caledonia, MI 49316
Phone (616) 330-0890

3220 68th St SE
Ste A
Caledonia, MI 49316

7101 Broadmoor Ave SE
Caledonia, MI 49316
Phone (616) 330-0891

7101 Broadmoor Ave SE
Ste B
Caledonia, MI 49316
Phone (616) 330-0890

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1508495722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6824 RIVERS EDGE LN",
            "city": "MIDDLEVILLE",
            "state": "MI",
            "postal_code": "493339184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 68TH ST SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493167466",
            "telephone_number": "166-330-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERHEIDE",
        "first_name": "MICHELLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caledonia, MI

Sources for this page

Verify at the official NPI Registry.