Brenda Stevenson, ACSW, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801085133 Issued in MI

Practice address

3000 Monroe Avenue, NE
Grand Rapids, MI 49505-3397

Phone

(616) 364-5295

NPI assigned

Oct 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Brenda Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1831275957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MONROE AVENUE, NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053397",
            "telephone_number": "616-364-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MONROE AVENUE, NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053397",
            "telephone_number": "616-364-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "BRENDA",
        "name_prefix": "Ms.",
        "credential": "ACSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "WILLIAMS",
            "credential": "LMSW, CAAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Jo Stevens
• Sydney Stevens
• Todd Stevens, M.D.
• Vanessa Stevens, FNP-BC
• Beth Stevenson, NP
• Emily Marie Stevenson, RDN
• Hilary Paige Stevenson, PHD, MD
• John E. Stevenson, M.D.
• Jordan B Stevenson, PA
• Laura Eileen Stevenson, PA-C

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.