Elondra Varice

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801115581 Issued in MI

Practice address

3285 122ND Ave
Allegan, MI 49010-9511

Phone

(269) 615-5117

NPI assigned

Sep 19, 2018

Last updated

Nov 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Eunoia Mental Health LLC

  • Social Worker
  • Plymouth, MI
  • NPI 1740862127
  NPD (past)

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1588148191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 OSHTEMO RIDGE TRL",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093705",
            "telephone_number": "269-352-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 122ND AVE",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490109511",
            "telephone_number": "269-615-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARICE",
        "first_name": "ELONDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801115581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Joseph Trumbull, OTR
• Value Drugs of Allegan Inc (Moore Family Pharmacy Allegan)
• Tracy Vanden Bosch
• Rachel Anne Vandenbrink, D.O.
• Cassie L Vandervelden, NP
• Ampapone Khamsana Vongsiprasom, COTA
• Linda S Wadsworth, NP
• Carole-Nicole Marie Waite
• Patricia Branigan Walker
• John Walstrum, MD

• Clinical Social Worker in Allegan, MI
• Providers in Allegan, 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 Nov 30, 2023; 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.