Organization Active NPI

Ywca West Central Michigan

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1831235985
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
YWCA WEST CENTRAL MICHIGAN
Practice address
25 Sheldon Blvd SE
Grand Rapids, MI 49503-4209
Phone
(616) 459-4681
Fax
(616) 459-5423
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Authorized official

Name
Ms. Debra E Shimmel
Title
Vice President of Operations
Phone
(616) 459-4681

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

25 Sheldon Blvd SE
Grand Rapids, MI 49503-4209

Mailing address

25 Sheldon Blvd SE
Grand Rapids, MI 49503-4209
Phone (616) 459-4681

Other names 1

  • YWCA of Grand Rapids Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0920759Ywca West Central Michigan Nurse Examiner Program25 Sheldon Avenue SE, Grand Rapids, MI 49503Certificate of waiverOct 8, 2026

National Provider Directory

National Provider Directory

Locations

25 Sheldon Ave SE
Grand Rapids, MI 49503
Phone (616) 459-4681

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1831235985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SHELDON BLVD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034209",
            "telephone_number": "616-459-4681",
            "fax_number": "616-459-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SHELDON BLVD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034209",
            "telephone_number": "616-459-4681",
            "fax_number": "616-459-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YWCA WEST CENTRAL MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "SHIMMEL",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "616-459-4681",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YWCA of Grand Rapids",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jan 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.