Christine Mushlock, LMSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CHRISTINE MUSHLOCK, LMSW LLC

Practice address

103 College Ave SE Ste 205
Grand Rapids, MI 49503-5945

Phone

(616) 328-9238

NPI assigned

Oct 30, 2024

Organization subpart

No

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

Authorized official

Name

Christine Mushlock, LMSWNPI 1245578590

Title

Outpatient Therapist

Phone

(616) 328-9238

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Anne Mushlock, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1245578590
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1538981501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 LAKE GROVE AVE SE",
            "city": "EAST GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063556",
            "telephone_number": "616-328-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COLLEGE AVE SE STE 205",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035945",
            "telephone_number": "616-328-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE MUSHLOCK, LMSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "MUSHLOCK",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OUTPATIENT THERAPIST",
        "authorized_official_telephone_number": "616-328-9238",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Christianson, MD
• Bryan Charles Christie, M.D.
• Joel Stephen Christie, LPC
• Marne Christie
• Christina McPike Counseling LLC
• Abigail Christmas, M.D.
• Kimberly Ann Christmas, LLPC
• Christopherson & Caldwell Orthodontics
• Elizabeth Ann Christopherson, D.D.S., M,S,
• Matthew E Christy, 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 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.