Individual provider Active NPI

Frank Florido, ACSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1740480607
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801072779 Issued in MI
Practice address
2460 Burton St SE
Grand Rapids, MI 49546-4806
Phone
(616) 235-2090
Fax
(616) 235-2099
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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 6801072779 MI Primary

Addresses

Primary practice location

2460 Burton St SE
Grand Rapids, MI 49546-4806

Mailing address

PO Box 120125
Grand Rapids, MI 49528-0103
Phone (616) 235-2090

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
I20231013001230 MI Practitioner - Clinical Social Worker 0042665895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
616 Counseling Professional CorporationGroup PAC ID 6901146208, 2 clinicians

Practice addresses (Care Compare)

550 Cascade W Pkwy SE
Grand Rapids, MI 49546
Phone (616) 930-4123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801072779MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
616 Counseling Professional Corporation Clinical CurrentSince Sep 26, 2023 Accepting new patients
David W Hamilton PSYD PLLC PastSince Sep 26, 2023 Accepting new patients

Locations

550 Cascade West Pkwy SE
Grand Rapids, MI 49546
Phone (616) 930-4123

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1740480607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120125",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495280103",
            "telephone_number": "616-235-2090",
            "fax_number": "616-235-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 BURTON ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495464806",
            "telephone_number": "616-235-2090",
            "fax_number": "616-235-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORIDO",
        "first_name": "FRANK",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801072779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.