Individual provider Active NPI

Erin Vlietstra, MSW

  • Clinical Social Worker
  • Portage, MI
National Provider Identifier
1699187138
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095955 Issued in MI
Practice address
800 E Milham Ave Ste 200
Portage, MI 49002-1492
Phone
(269) 249-7179
NPI assigned
Jun 2, 2014
Last updated
May 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2021

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 6801095955 MI Primary

Addresses

Primary practice location

800 E Milham Ave Ste 200
Portage, MI 49002-1492

Mailing address

800 E Milham Ave Ste 200
Portage, MI 49002-1492
Phone (269) 249-7179

Other practice location 1

11652 W Grand River Ave
Lowell, MI 49331-8465
Phone (616) 248-5131

Other names 1

  • Erin Anstey Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

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
I20171207000135 MI Practitioner - Clinical Social Worker 8325305998 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restorative Therapy and Counseling ServicesGroup PAC ID 5193114635, 13 clinicians

Practice addresses (Care Compare)

246 E Kilgore Rd
Portage, MI 49002-0507
Phone (269) 249-7179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801095955MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson South Haven Hospital CurrentSince Oct 1, 2020 Accepting new patients
Bronson Battle Creek Hospital CurrentSince May 1, 2020 Accepting new patients
Bronson Lakeview Hospital CurrentSince Oct 1, 2020 Accepting new patients
Bronson Lakeview Hospital CurrentSince Oct 1, 2020 Accepting new patients
Restorative Therapy & Counseling Services Clinical CurrentSince Jan 1, 2021 Accepting new patients
Neuropsychology Associates PLC CurrentSince Jan 27, 2018 Accepting new patients
Bronson Methodist Hospital CurrentSince Nov 4, 2017 Accepting new patients
Bronson Battle Creek Hospital CurrentSince May 1, 2020 Accepting new patients
Bronson South Haven Hospital CurrentSince Oct 1, 2020 Accepting new patients

Locations

363 Fremont St
Ste 308
Battle Creek, MI 49017
Phone (269) 245-8310

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

4328 W Michigan Ave
Kalamazoo, MI 49006
Phone (269) 375-2222

601 John St
Ste M20
Kalamazoo, MI 49007

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
Ste M-020
Kalamazoo, MI 49007
Phone (269) 341-8282

3325 Greenleaf Blvd
Kalamazoo, MI 49008

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

451 Health Pkwy
Ste A
Paw Paw, MI 49079
Phone (269) 655-3065

800 E Milham Ave
Ste 200
Portage, MI 49002
Phone (269) 249-7179

246 E Kilgore Rd
Portage, MI 49002
Phone (269) 249-7179

800 E Milham Ave
Portage, MI 49002
Phone (269) 249-7179

950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1699187138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E MILHAM AVE STE 200",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021492",
            "telephone_number": "269-249-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E MILHAM AVE STE 200",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021492",
            "telephone_number": "269-249-7179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11652 W Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MI",
            "postal_code": "493318465",
            "country_code": "US",
            "telephone_number": "616-248-5131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VLIETSTRA",
        "first_name": "ERIN",
        "name_prefix": "Miss",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "ANSTEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.