Active NPI
Meghan Elizabeth Southwell, LMSW
- Social Worker
- Grand Haven, MI
National Provider Identifier
1750917969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801106666
- Practice address
- 1703 S Despelder St
Grand Haven, MI 49417-2649 - Phone
- (616) 402-3433
- NPI assigned
- Mar 19, 2020
- Last updated
- Feb 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801106666 | MI | Primary |
Addresses
Primary practice location
1703 S Despelder St
Grand Haven, MI 49417-2649
Mailing address
14758 Timber Lake CT
Spring Lake, MI 49456-9081
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.counselingcenterwm.org |
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 |
|---|---|---|---|
| 6801106666 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meghan Southwell LLC | Social Worker | Current | Accepting new patients |
| Virtuwell Therapy, LLC | Past | Accepting new patients |
Locations
16175 Robbins Rd
Ste 2
Grand Haven, MI 49417
Phone (616) 920-1335
1703 S Despelder St
Grand Haven, MI 49417
Phone (616) 402-3433
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Social Worker
- Grand Haven, MI
- NPI 1952904575
-
- Mental Health Counselor
- Grand Rapids, MI
- NPI 1871356212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1750917969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14758 TIMBER LAKE CT",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494569081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 S DESPELDER ST",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494172649",
"telephone_number": "616-402-3433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHWELL",
"first_name": "MEGHAN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-19",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801106666",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.counselingcenterwm.org",
"affiliation": "N",
"endpointDescription": "website contact information",
"address_1": "Counseling Center of West Michigan",
"address_2": "360 East Beltline Ave NE Suite 100",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "49506",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.