Organization Active NPI

Virginia Scholten MSW LMSW LLC

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1699898478
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801069881 Issued in MI
Legal business name
VIRGINIA SCHOLTEN MSW LMSW LLC
Practice address
4467 Cascade Ave SE
Ste #4481
Grand Rapids, MI 49546
Phone
(616) 745-4426
Fax
(616) 361-2819
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Virginia Ruth ScholtenNPI 1780714238
Title
Owner Sole Proprieter
Phone
(616) 745-4426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801069881 MI Primary

Addresses

Primary practice location

4467 Cascade Ave SE
Ste #4481
Grand Rapids, MI 49546

Mailing address

4467 Cascade Ave SE
Ste #4481
Grand Rapids, MI 49546
Phone (616) 745-4426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120531000059 MI Part B Supplier - Clinic/Group Practice 6709049711 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699898478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4467 CASCADE AVE SE",
            "address_2": "STE #4481",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-745-4426",
            "fax_number": "616-361-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4467 CASCADE AVE SE",
            "address_2": "STE #4481",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-745-4426",
            "fax_number": "616-361-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA SCHOLTEN MSW LMSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHOLTEN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER SOLE PROPRIETER",
        "authorized_official_telephone_number": "616-745-4426"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801069881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.