Individual provider Active NPI

Rebecca Lynn Rozema, LMSW

  • Clinical Social Worker
  • Holland, MI
National Provider Identifier
1790965705
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801089338 Issued in MI
Practice address
323 W 34TH St Ste 100
Holland, MI 49423-4608
Phone
(616) 232-6675
NPI assigned
Nov 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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 CSW007984 GA
Clinical Social Worker 1041C0700X 6801089338 MI Primary

Addresses

Primary practice location

323 W 34TH St Ste 100
Holland, MI 49423-4608

Mailing address

323 W 34TH St
Holland, MI 49423-4608
Phone (616) 885-0381

Other names 1

  • Rebecca Lynn Hayes Former name

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

LicenseStateTypeSpecialty
CSW007984GAMDClinical Social Worker
6801089338MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Rozema, LMSW CurrentSince Jun 1, 2022 Accepting new patients

Locations

720 E 8th St
Ste 3
Holland, MI 49423
Phone (269) 998-5035

Organizations & group practices 1

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": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1790965705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W 34TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234608",
            "telephone_number": "616-885-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W 34TH ST STE 100",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234608",
            "telephone_number": "616-232-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZEMA",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007984",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "HAYES",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.