Individual provider Active NPI

Micah B Enoch, LLMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1538968151
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851114723 Issued in MI
Practice address
2335 Burton St SE Ste 210
Grand Rapids, MI 49506-4669
Phone
(616) 236-3600
NPI assigned
Mar 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 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 6851114723 MI Primary

Addresses

Primary practice location

2335 Burton St SE Ste 210
Grand Rapids, MI 49506-4669

Mailing address

945 Beechwood St NE
Grand Rapids, MI 49505-3709
Phone (616) 446-1364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851114723MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Therapy LLC CurrentSince Mar 11, 2025 Accepting new patients
New Chapters Counseling Services, PLLC Clinical CurrentSince Mar 11, 2025 Accepting new patients

Locations

2335 Burton St SE
Ste 210
Grand Rapids, MI 49506
Phone (616) 236-3600

Organizations & group practices 2

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": "1741392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1538968151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 BEECHWOOD ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053709",
            "telephone_number": "616-446-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 BURTON ST SE STE 210",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064669",
            "telephone_number": "616-236-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOCH",
        "first_name": "MICAH",
        "middle_name": "B",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-08",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851114723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; 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.