Active NPI
Ywca West Central Michigan
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1831235985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | |||
| Clinical Social Worker | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0920759 | Ywca West Central Michigan Nurse Examiner Program | Certificate of waiver | Oct 8, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.