Active NPI
Cheryl Rae Tschosik, MSW, CSW
- Social Worker
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801065941
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801065941 | Other | MI | LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801065941 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catherine'S Health Center | Current | Accepting new patients | |
| Catherine'S Health Center | Current | Accepting new patients | |
| Catherine'S Health Center | Current | Accepting new patients | |
| Catherine'S Health Center | Past | 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.
-
- Clinic/Center
- Grand Rapids, MI
- NPI 1912055872
-
- Federally Qualified Health Center (FQHC)
- Grand Rapids, MI
- NPI 1407742018
-
- Federally Qualified Health Center (FQHC)
- Grand Rapids, MI
- NPI 1811427826
-
- Federally Qualified Health Center (FQHC)
- Kentwood, MI
- NPI 1881463958
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.