Active NPI
Dawn Kay Carpenter, LMSW
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1730415050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 781 - 36TH St., SE
Hope Network DCS
Grand Rapids, MI 49501-0141 - Phone
- (616) 248-5179
- Fax
- (616) 243-2302
- NPI assigned
- Oct 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801094994 | MI | |
| Clinical Social Worker | 1041C0700X | MI | ||
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
781 - 36TH St., SE
Hope Network DCS
Grand Rapids, MI 49501-0141
Mailing address
PO Box 141
Hope Network DCS
Grand Rapids, MI 49501-0141
Phone (616) 248-5179
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801094994 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1730415050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 141",
"address_2": "HOPE NETWORK DCS",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495010141",
"telephone_number": "616-248-5179",
"fax_number": "616-243-2302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "781 - 36TH ST., SE",
"address_2": "HOPE NETWORK DCS",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495010141",
"telephone_number": "616-248-5179",
"fax_number": "616-243-2302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "DAWN",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-21",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801094994",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"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 Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.