Active NPI
Katherine Vanryn, LMSW
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1740753151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801087769
- Practice address
- 401 Hall St, SW
Suite 263
Grand Rapids, MI 49503 - Phone
- (616) 719-0919
- NPI assigned
- Jan 8, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801087769 | MI | Primary |
Addresses
Primary practice location
401 Hall St, SW
Suite 263
Grand Rapids, MI 49503
Mailing address
401 Hall St, SW
Suite 263
Grand Rapids, MI 49503
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801087769 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emmanuel Hospice | Current | Accepting new patients | |
| Emmanuel Hospice | Current | Accepting new patients |
Locations
401 Hall St SW
Ste 263
Grand Rapids, MI 49503
Phone (616) 719-0919
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.
-
- Community Based Hospice Care Agency
- Grand Rapids, MI
- NPI 1740548577
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Grand Rapids, MI
- NPI 1851187652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1740753151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 HALL ST, SW",
"address_2": "SUITE 263",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 HALL ST, SW",
"address_2": "SUITE 263",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49503",
"telephone_number": "616-719-0919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANRYN",
"first_name": "KATHERINE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-08",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801087769",
"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 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.