Individual provider Active NPI

Ryanne Leigh Grygorcewicz, LMSW

  • Clinical Social Worker
  • Brockway, MI
National Provider Identifier
1679693329
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801087767 Issued in MI
Practice address
7470 Brockway Rd
Brockway, MI 48097-3458
Phone
(313) 850-1431
NPI assigned
Mar 29, 2007
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801087767 MI Primary

Addresses

Primary practice location

7470 Brockway Rd
Brockway, MI 48097-3458

Mailing address

2884 Harwood Dr
Kimball, MI 48074-1508
Phone (734) 755-1117

Other practice location 1

2884 Harwood Dr
Kimball, MI 48074-1508
Phone (734) 755-1117

Other practice location 2

34160 Oakview St
Clinton Township, MI 48035-3743
Phone (734) 755-1117

Other names 1

  • Ms. Ryanne Leigh Goethe Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801087767MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1679693329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2884 HARWOOD DR",
            "city": "KIMBALL",
            "state": "MI",
            "postal_code": "480741508",
            "telephone_number": "734-755-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7470 BROCKWAY RD",
            "city": "BROCKWAY",
            "state": "MI",
            "postal_code": "480973458",
            "telephone_number": "313-850-1431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2884 Harwood Dr",
            "address_purpose": "LOCATION",
            "city": "Kimball",
            "state": "MI",
            "postal_code": "480741508",
            "country_code": "US",
            "telephone_number": "734-755-1117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34160 Oakview St",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480353743",
            "country_code": "US",
            "telephone_number": "734-755-1117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRYGORCEWICZ",
        "first_name": "RYANNE",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYANNE",
            "last_name": "GOETHE",
            "middle_name": "LEIGH",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brockway, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.