Individual provider Active NPI

Matthew M Ready, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1528256286
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801079667 Issued in MI
Practice address
2851 Charlevoix Dr SE Ste 323
Grand Rapids, MI 49546-7092
Phone
(616) 458-0692
Fax
(616) 458-8129
NPI assigned
Oct 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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 6801079667 MI Primary

Addresses

Primary practice location

2851 Charlevoix Dr SE Ste 323
Grand Rapids, MI 49546-7092

Mailing address

3940 Peninsular Dr SE Ste 230
Grand Rapids, MI 49546-6187
Phone (616) 458-0692

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
I20071026000668 MI Practitioner - Clinical Social Worker 0840387536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hra Psychological Services PCGroup PAC ID 8820994031, 5 clinicians

Practice addresses (Care Compare)

2851 Charlevoix Dr SE
Suite 323 Hra Psychological Services
Grand Rapids, MI 49546-7092
Phone (616) 458-0692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hra Psychological Services PC Clinical CurrentSince Oct 20, 2008 Accepting new patients

Locations

2851 Charlevoix Dr SE
Ste 323
Grand Rapids, MI 49546
Phone (616) 458-0692

3940 Peninsular Dr SE
Ste 230
Grand Rapids, MI 49546
Phone (616) 458-0692

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1528256286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 PENINSULAR DR SE STE 230",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466187",
            "telephone_number": "616-458-0692",
            "fax_number": "231-722-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 CHARLEVOIX DR SE STE 323",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467092",
            "telephone_number": "616-458-0692",
            "fax_number": "616-458-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "READY",
        "first_name": "MATTHEW",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801079667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.