Individual provider Active NPI

Lindsey Janeen Brace, LMSW

  • Clinical Social Worker
  • Rockford, MI
National Provider Identifier
1760993091
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801098401 Issued in MI
Practice address
7700 Forest CT NE
Rockford, MI 49341-8114
Phone
(616) 822-2263
NPI assigned
Oct 13, 2017
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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 6801098401 MI Primary

Addresses

Primary practice location

7700 Forest CT NE
Rockford, MI 49341-8114

Mailing address

7700 Forest CT NE
Rockford, MI 49341-8114
Phone (616) 822-2263

Other practice location 1

1150 N Hudson St
Lowell, MI 49331-1000
Phone (616) 897-8436

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
I20171031001537 MI Practitioner - Clinical Social Worker 6901172303 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
LJ Counseling Services LLC Clinical CurrentSince Sep 21, 2020 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Mar 19, 2018 Accepting new patients
Pine Rest Christian Mental Health Services CurrentSince Sep 29, 2017 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Mar 19, 2018 Accepting new patients
Pine Rest Christian Mental Health Services Social Worker CurrentSince Sep 29, 2017 Accepting new patients
Virtuwell Therapy, LLC PastSince Feb 4, 2024 Accepting new patients

Locations

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

4829 E Beltline Ave NE
Ste 302
Grand Rapids, MI 49525
Phone (616) 226-6522

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

1150 N Hudson St
Lowell, MI 49331
Phone (616) 897-8429

300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1760993091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 FOREST CT NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418114",
            "telephone_number": "616-822-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 FOREST CT NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418114",
            "telephone_number": "616-822-2263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 N Hudson St",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MI",
            "postal_code": "493311000",
            "country_code": "US",
            "telephone_number": "616-897-8436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACE",
        "first_name": "LINDSEY",
        "middle_name": "JANEEN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

Verify at the official NPI Registry.