Vicki Poleni LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

VICKI POLENI LMSW

Practice address

600 3 Mile Rd NW Ste 101
Grand Rapids, MI 49544-1691

Phone

(616) 901-0149

NPI assigned

Nov 14, 2022

Last updated

Jun 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vicki Poleni, LMSW

Title

Owner

Phone

(616) 901-0149

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victoria A Poleni, MSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1417194895
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1639887144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14107 BELDING RD NE",
            "city": "BELDING",
            "state": "MI",
            "postal_code": "488099635",
            "telephone_number": "616-901-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 3 MILE RD NW STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495441691",
            "telephone_number": "616-901-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKI POLENI LMSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "POLENI",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-901-0149",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicare Rehabilitation PLLC
• Karmyn O Vickery, MD
• Kirsti Vickery
• Stephen Vickery, CNA
• Vicki Nelson Smeby Ma LLP LLC
• Vicki Steenbergen LMSW
• Jennifer Lynn Victor, LLMSW
• Justin Nicholas Victor, PT, DPT
• Diana Victorino-Tellez
• Victory Palace

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.