Organization Active NPI

SJR Therapy PLLC

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1639957129
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SJR THERAPY PLLC
Practice address
547 Glenwood Ave SE # 49506
Grand Rapids, MI 49506-2702
Phone
(616) 403-4435
NPI assigned
Sep 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Mrs. Sarah Jean Riemersma, LMSW, CAADCNPI 1104076967
Title
Therapist
Phone
(616) 403-4435

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

547 Glenwood Ave SE # 49506
Grand Rapids, MI 49506-2702

Mailing address

547 Glenwood Ave SE
Grand Rapids, MI 49506-2702
Phone (616) 403-4435

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1639957129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 GLENWOOD AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062702",
            "telephone_number": "616-403-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 GLENWOOD AVE SE # 49506",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062702",
            "telephone_number": "616-403-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJR THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "RIEMERSMA",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "616-403-4435",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW, CAADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Sep 18, 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.