Active NPI
Benjamin Brower, LMSW
- Social Worker
- Grand Rapids, MI
National Provider Identifier
1841558053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801088412
- Practice address
- 805 Leonard St NE
Grand Rapids, MI 49503-1138 - Phone
- (616) 826-6063
- Fax
- (616) 774-3842
- NPI assigned
- Apr 25, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801088412 | MI | Primary |
Addresses
Primary practice location
805 Leonard St NE
Grand Rapids, MI 49503-1138
Mailing address
805 Leonard St NE
Grand Rapids, MI 49503-1138
Phone (616) 826-6063
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
790 Fuller Ave NE
Grand Rapids, MI 49503-1918
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801088412 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kent County CMH Authority | Current | Accepting new patients | |
| Kent County CMH Authority | Current | Accepting new patients | |
| D a Blodgett-St Johns | Past | Accepting new patients | |
| D.a. Blodgett - St. John'S | Past | Accepting new patients |
Locations
790 Fuller Ave NE
Grand Rapids, MI 49503
Phone (616) 336-3765
260 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 459-1267
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Grand Rapids, MI
- NPI 1588935068
-
- Community/Behavioral Health Agency
- Grand Rapids, MI
- NPI 1861701229
-
- Community/Behavioral Health Agency
- Grand Rapids, MI
- NPI 1194617811
-
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1801929435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1841558053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 LEONARD ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495031138",
"telephone_number": "616-826-6063",
"fax_number": "616-774-3842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 LEONARD ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495031138",
"telephone_number": "616-826-6063",
"fax_number": "616-774-3842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWER",
"first_name": "BENJAMIN",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-25",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801088412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.