Becky Lynn Haderer

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851122783 Issued in MI

Practice address

1354 Baldwin St Ste 106
Jenison, MI 49428-7805

Phone

(616) 315-2020

NPI assigned

Aug 27, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1700793205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CALVIN AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063232",
            "telephone_number": "616-406-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 BALDWIN ST STE 106",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287805",
            "telephone_number": "616-315-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADERER",
        "first_name": "BECKY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851122783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Thomas Griffin, D. P. M.
• William Griffith, DDS
• Meghan Groenendyk
• Janel Hackbardt, DDS
• Quintin Andrew Hacker, PHARMD
• Marisa Faith Hahn
• Steven M Hall, D.D.S
• Dusty Dawn Hammis
• Daleen Siheim Hammoud, DDS
• Nathanael Paul Hansen, LPC

• Clinical Social Worker in Jenison, MI
• Providers in Jenison, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.