Active NPI
Chelsea Wiersema
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1679952949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801097899
- Practice address
- 3292 Evergreen Dr NE
Grand Rapids, MI 49525-9580 - Phone
- (616) 365-8920
- Fax
- (616) 365-8971
- NPI assigned
- May 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801097899 | MI | Primary |
Addresses
Primary practice location
3292 Evergreen Dr NE
Grand Rapids, MI 49525-9580
Mailing address
3292 Evergreen Dr NE
Grand Rapids, MI 49525-9580
Phone (616) 365-8920
Other names 1
- Chelsea Folkertsma
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801097899 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Kind Counseling Group, LLC | Current | Accepting new patients | |
| Chelsea Wiersema LMSW, LLC | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Grandville, MI
- NPI 1841851169
-
- Mental Health Counselor
- Grandville, MI
- NPI 1881355675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509926400000",
"number": "1679952949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3292 EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259580",
"telephone_number": "616-365-8920",
"fax_number": "616-365-8971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3292 EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259580",
"telephone_number": "616-365-8920",
"fax_number": "616-365-8971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIERSEMA",
"first_name": "CHELSEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-20",
"last_updated": "2017-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801097899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHELSEA",
"last_name": "FOLKERTSMA",
"code": "1",
"type": "Former Name"
}
]
}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 Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.