Individual provider Active NPI

Shane Evan Ver Steeg, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1760418792
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801099861 Issued in MI
Practice address
550 Cascade West Pkwy SE
Grand Rapids, MI 49546-2137
Phone
(616) 930-4123
Fax
(616) 323-3994
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801099861 MI Primary
Social Worker 104100000X 06425 IA

Addresses

Primary practice location

550 Cascade West Pkwy SE
Grand Rapids, MI 49546-2137

Mailing address

2611 Washington Street
Pella, IA 50219
Phone (641) 628-9599

Other identifiers 1

IdentifierTypeStateIssuer
1760418792MedicaidIA

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
I20160909001311 MI Practitioner - Clinical Social Worker 1254434640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

96 W 15TH St
Suite 308
Holland, MI 49423-3374
Phone (515) 988-5189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Institute for Leadership Development LLC Clinical CurrentSince May 13, 2025 Accepting new patients
David W Hamilton PSYD PLLC PastSince Aug 9, 2020 Accepting new patients
Compass Clinical Associates PLLC Social Worker PastSince Jan 1, 2013 Accepting new patients

Locations

890 Washington Ave
Holland, MI 49423
Phone (616) 396-1907

96 W 15th St
Ste 308
Holland, MI 49423
Phone (515) 988-5189

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1760418792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 WASHINGTON STREET",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "50219",
            "telephone_number": "641-628-9599",
            "fax_number": "641-621-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CASCADE WEST PKWY SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462137",
            "telephone_number": "616-930-4123",
            "fax_number": "616-323-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VER STEEG",
        "first_name": "SHANE",
        "middle_name": "EVAN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099861",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "06425",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760418792",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.