Active NPI
Dewanda L Gichemi, DSW, LMSW, IPTA, EFT
- Clinical Social Worker
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801089119
- 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, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Haven Counseling, LLC | Clinical | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Richard Kneip, PH.D., P.C. | Current | 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
- 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.
-
dba Great Lakes Psychology Group
- Community/Behavioral Health Agency
- Clarkston, MI
- NPI 1679739700
-
- Clinical Social Worker
- Grandville, MI
- NPI 1063893907
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.