Active NPI
Molly Kay Dehoog, LMSW, LCSW
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1568895340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801113894
- Practice address
- 826 Parchment Dr SE Ste 100
Grand Rapids, MI 49546-2307 - Phone
- (616) 366-4226
- NPI assigned
- Aug 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801113894 | MI | Primary |
Addresses
Primary practice location
826 Parchment Dr SE Ste 100
Grand Rapids, MI 49546-2307
Mailing address
326 Eastmoor Ave SE
Grand Rapids, MI 49546-2227
Phone (616) 581-8505
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801113894 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mantra LLC | Clinical | Current | Accepting new patients |
Locations
826 Parchment Dr SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 366-4226
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": "1376524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1568895340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 EASTMOOR AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462227",
"telephone_number": "616-581-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 PARCHMENT DR SE STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462307",
"telephone_number": "616-366-4226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEHOOG",
"first_name": "MOLLY",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "LMSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-15",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801113894",
"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 Jan 28, 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.