Reilley Nichole Warner, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851119655 Issued in MI

Practice address

4565 Wilson Ave SW Ste 1a
Grandville, MI 49418-2371

Phone

(616) 591-9000

Fax

(616) 591-9060

NPI assigned

May 20, 2025

Last updated

May 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1659163103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21637 KENDYL CT",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442281",
            "telephone_number": "586-298-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 WILSON AVE SW STE 1A",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182371",
            "telephone_number": "616-591-9000",
            "fax_number": "616-591-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "REILLEY",
        "middle_name": "NICHOLE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851119655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darcy Sandra Walsh
• Kailey Anne Walter
• Kendra Gail Walters, MSPT
• Kevin John Walters, LPN
• Raymond Wan, M.AC., ADS., LMT.,
• Taylor Warren
• Mary Katherine Warwick, RN
• Craig Joseph Washington
• Todd Eric Wehrmeyer, PT
• Angela Welch, LPC

• Clinical Social Worker in Grandville, MI
• Providers in Grandville, 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 May 20, 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.

Verify at the official NPI Registry.