Individual provider Active NPI

Lora K. Grabow, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1720152564
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801079289 Issued in MI
Practice address
2060 E Paris Ave SE
Suite 100
Grand Rapids, MI 49546-6501
Phone
(616) 956-6100
Fax
(616) 956-6637
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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 6801079289 MI Primary

Addresses

Primary practice location

2060 E Paris Ave SE
Suite 100
Grand Rapids, MI 49546-6501

Mailing address

2060 E Paris Ave SE
Suite 100
Grand Rapids, MI 49546-6501
Phone (616) 956-6100

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
I20090320000024 MI Practitioner - Clinical Social Worker 5395802292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lora K Grabow LLCGroup PAC ID 8022535871, 3 clinicians

Practice addresses (Care Compare)

2020 Raybrook St SE
Suite 306
Grand Rapids, MI 49546-7717
Phone (616) 446-0637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801079289MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lora K Grabow LLC CurrentSince Apr 7, 2025 Accepting new patients
Becoming You Therapy PLLC Clinical Past Accepting new patients

Locations

2020 Raybrook St SE
Ste 306
Grand Rapids, MI 49546
Phone (616) 259-5444

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1720152564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 E PARIS AVE SE",
            "address_2": "SUITE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466501",
            "telephone_number": "616-956-6100",
            "fax_number": "616-956-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 E PARIS AVE SE",
            "address_2": "SUITE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466501",
            "telephone_number": "616-956-6100",
            "fax_number": "616-956-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABOW",
        "first_name": "LORA",
        "middle_name": "K.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801079289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.