Individual provider Active NPI

Dewanda L Gichemi, DSW, LMSW, IPTA, EFT

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1598983587
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801089119 Issued in MI
Practice address
640 3 Mile Rd NW Ste G
Grand Rapids, MI 49544-8209
Phone
(800) 693-1916
Fax
(248) 605-3525
NPI assigned
Apr 23, 2007
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801089119 MI Primary
School Social Worker 1041S0200X

Addresses

Primary practice location

640 3 Mile Rd NW Ste G
Grand Rapids, MI 49544-8209

Mailing address

4654 Middlebury Dr SE
Kentwood, MI 49512-3990
Phone (616) 466-1456

Other names 1

  • Dr. Dewanda L Gichemi Professional name

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
I20140703000665 MI Practitioner - Clinical Social Worker 1759506835 Reassigns benefits to 1 organization
Practice locations: Grand Rapids, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

1845 R W Berends Dr SW
Wyoming
Wyoming, MI 49519-4955
Phone (800) 693-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Haven Counseling, LLC Clinical CurrentSince Aug 1, 2019 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Oct 20, 2022 Accepting new patients

Locations

6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 230-0167

4565 Wilson Ave SW
Ste 4A
Grandville, MI 49418
Phone (616) 591-9000

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

640 3 Mile Rd NW
Ste G
Walker, MI 49544
Phone (517) 234-3826

1843 Rw Berends Dr SW
Wyoming, MI 49519
Phone (616) 600-2845

1845 Rw Berends Dr SW
Wyoming, MI 49519
Phone (616) 259-5136

Interoperability endpoints

  • Direct secure messaging: dewandagichemi@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1598983587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4654 MIDDLEBURY DR SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495123990",
            "telephone_number": "616-466-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 3 MILE RD NW STE G",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495448209",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GICHEMI",
        "first_name": "DEWANDA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DSW, LMSW, IPTA, EFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089119",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEWANDA",
            "last_name": "GICHEMI",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "DSW, LMSW, IPTA, EFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.