Individual provider Active NPI

Lauren M Guttersen, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1669713525
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2100 Raybrook St SE Ste 203
Grand Rapids, MI 49546-5783
Phone
(800) 447-3007
Fax
(616) 954-1520
NPI assigned
Mar 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X 6801093706 MI
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2100 Raybrook St SE Ste 203
Grand Rapids, MI 49546-5783

Mailing address

2100 Raybrook St SE Ste 203
Grand Rapids, MI 49546-5783
Phone (800) 447-3007

Other names 1

  • Lauren Woodard Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140211000701 MI Practitioner - Clinical Social Worker 6901035195 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reliance Community Care Partners Clinical CurrentSince Dec 1, 2020 Accepting new patients
Clearwater Counseling & Wellness LLC CurrentSince Sep 9, 2023 Accepting new patients
Reliance Community Care Partners Clinical CurrentSince Dec 1, 2020 Accepting new patients

Locations

1525 E Beltline Ave NE
Ste 204
Grand Rapids, MI 49525
Phone (616) 965-1200

1525 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 363-0055

2100 Raybrook St SE
Ste 203
Grand Rapids, MI 49546
Phone (616) 954-1518

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1669713525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 RAYBROOK ST SE STE 203",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465783",
            "telephone_number": "800-447-3007",
            "fax_number": "616-954-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 RAYBROOK ST SE STE 203",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465783",
            "telephone_number": "800-447-3007",
            "fax_number": "616-954-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTERSEN",
        "first_name": "LAUREN",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-01",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801093706",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "WOODARD",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.