Childhood Behavior Consulting Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CHILDHOOD BEHAVIOR CONSULTING SERVICES

Practice address

4829 E Beltline Ave NE Ste 303
Grand Rapids, MI 49525-9350

Phone

(616) 443-7009

NPI assigned

Jan 5, 2019

Organization subpart

No

Name

Cortney Rae Duffner, LMSWNPI 1356739403

Title

Social Worker

Phone

(616) 443-7009

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

• Cortney Rae Duffner, LMSW

  • Clinical Social Worker
  • Lowell, MI
  • NPI 1356739403

  Clinical

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 5, 2019.

{
    "created_epoch": "1546646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546646400000",
    "number": "1700359478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 HIGHBURY DR SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493017738",
            "telephone_number": "616-443-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 E BELTLINE AVE NE STE 303",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259350",
            "telephone_number": "616-443-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDHOOD BEHAVIOR CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-05",
        "last_updated": "2019-01-05",
        "status": "A",
        "authorized_official_last_name": "DUFFNER",
        "authorized_official_first_name": "CORTNEY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "616-443-7009",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Richard Chicotka, M.D.
• Jenny Lynn Chien, LPC
• Randy L Chilcote, DO
• Mary Beth Child, LLP
• Joanna J Childers, PA-C
• Children'S Assessment Center
• Grace Elizabeth Childs
• Deric Arnson Chiles
• Holly Marie Chiles, DO
• Makayla Ashley Chiles

• All providers in Grand Rapids, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2019; 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.