Individual provider Active NPI

Cherie Nicholle Elahl, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1720715576
Registry record updated Jan 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801111065 Issued in MI
Practice address
3280 E Beltline CT NE Ste 100
Grand Rapids, MI 49525-9494
Phone
(616) 315-0730
NPI assigned
Aug 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2024

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 6801111065 MI Primary

Addresses

Primary practice location

3280 E Beltline CT NE Ste 100
Grand Rapids, MI 49525-9494

Mailing address

749 Parkway Dr NE
Grand Rapids, MI 49525-2605
Phone (616) 745-8539

Other practice location 1

3800 Lake Michigan Dr NW Ste 103
Grand Rapids, MI 49534-4583
Phone (616) 805-3660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801111065MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Virtuwell Therapy, LLC PastSince Feb 4, 2024 Accepting new patients
Starr Commonwealth Clinical PastSince Aug 1, 2022 Accepting new patients
Elahl Counseling and Consultation Services, PLC Social Worker Past Accepting new patients

Organizations & group practices 3

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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706400000000",
    "number": "1720715576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 PARKWAY DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495252605",
            "telephone_number": "616-745-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 E BELTLINE CT NE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259494",
            "telephone_number": "616-315-0730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Lake Michigan Dr NW Ste 103",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495344583",
            "country_code": "US",
            "telephone_number": "616-805-3660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELAHL",
        "first_name": "CHERIE",
        "middle_name": "NICHOLLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801111065",
            "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 Jan 28, 2024; 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.