Individual provider Active NPI

Carli Luce, LMSW

  • Clinical Social Worker
  • Holland, MI
National Provider Identifier
1548790181
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801087871 Issued in MI
Practice address
393 Garden Ave
Holland, MI 49424-9602
Phone
(248) 787-6777
NPI assigned
Jun 15, 2017
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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 6801087871 MI Primary

Addresses

Primary practice location

393 Garden Ave
Holland, MI 49424-9602

Mailing address

520 Butternut Dr Ste 8204
Holland, MI 49424-1587
Phone (248) 787-6777

Other names 1

  • Carli Nuechterlein Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801087871MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carli Luce LMSW LLC Clinical CurrentSince Dec 21, 2021 Accepting new patients

Locations

393 Garden Ave
Holland, MI 49424
Phone (616) 287-5966

520 Butternut Dr
Ste 8204
Holland, MI 49424

440 S State St
Ste 320
Zeeland, MI 49464
Phone (616) 422-7820

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, 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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1548790181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 BUTTERNUT DR STE 8204",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241587",
            "telephone_number": "248-787-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 GARDEN AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494249602",
            "telephone_number": "248-787-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCE",
        "first_name": "CARLI",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLI",
            "last_name": "NUECHTERLEIN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.