Individual provider Active NPI

Cheryl Rae Tschosik, MSW, CSW

  • Social Worker
  • Grand Rapids, MI
National Provider Identifier
1588745293
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801065941 Issued in MI
Practice address
1211 Lafayette Ave NE
Grand Rapids, MI 49505-5092
Phone
(616) 336-8800
Fax
(616) 320-0406
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801065941 MI Primary

Addresses

Primary practice location

1211 Lafayette Ave NE
Grand Rapids, MI 49505-5092

Mailing address

950 36TH St SW
Wyoming, MI 49509-3587
Phone (616) 336-8800

Other identifiers 1

IdentifierTypeStateIssuer
6801065941OtherMILICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221207001415 MI Practitioner - Clinical Social Worker 9436528866 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801065941MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catherine'S Health Center CurrentSince May 2, 2024 Accepting new patients
Catherine'S Health Center Current Accepting new patients
Catherine'S Health Center CurrentSince May 2, 2024 Accepting new patients
Catherine'S Health Center PastSince Dec 31, 2023 Accepting new patients

Locations

1211 Lafayette Ave NE
Grand Rapids, MI 49505

2674 44th St SE
Kentwood, MI 49512

1920 Godfrey Ave SW
Wyoming, MI 49509
Phone (616) 243-0533

950 36th St SW
Wyoming, MI 49509
Phone (616) 320-0405

280 60th St SE
Ste 200
Wyoming, MI 49548
Phone (616) 363-5677

Organizations & group practices 4

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1588745293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 36TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495093587",
            "telephone_number": "616-336-8800",
            "fax_number": "616-320-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 LAFAYETTE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055092",
            "telephone_number": "616-336-8800",
            "fax_number": "616-320-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSCHOSIK",
        "first_name": "CHERYL",
        "middle_name": "RAE",
        "credential": "MSW, CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801065941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6801065941",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.