Active NPI
Heather Leigh Fricke
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1629577481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851120959
- Practice address
- 2172 Dean Lake Ave NE
Grand Rapids, MI 49505-4444 - Phone
- (616) 451-2021
- NPI assigned
- Feb 7, 2018
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6851120959 | MI | Primary |
Addresses
Primary practice location
2172 Dean Lake Ave NE
Grand Rapids, MI 49505-4444
Mailing address
17684 Robbins Rd
Grand Haven, MI 49417-9318
Phone (616) 251-9603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851120959 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D a Blodgett-St Johns | Clinical | Current | Accepting new patients |
Locations
2172 Dean Lake Ave NE
Grand Rapids, MI 49505
Phone (616) 451-2021
Organizations & group practices 1
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": "1517961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1629577481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17684 ROBBINS RD",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494179318",
"telephone_number": "616-251-9603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2172 DEAN LAKE AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495054444",
"telephone_number": "616-451-2021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRICKE",
"first_name": "HEATHER",
"middle_name": "LEIGH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-07",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851120959",
"primary": true
}
],
"identifiers": [],
"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 Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.