Individual provider Active NPI

Natalie J Blauer, LMSW

  • Social Worker
  • Grand Rapids, MI
National Provider Identifier
1841855178
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801107876 Issued in MI
Practice address
800 Monroe Ave NW Ste 206
Grand Rapids, MI 49503-1448
Phone
(616) 644-2835
NPI assigned
May 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801107876 MI Primary

Addresses

Primary practice location

800 Monroe Ave NW Ste 206
Grand Rapids, MI 49503-1448

Mailing address

1248 Divot Dr NW
Grand Rapids, MI 49504-2470
Phone (616) 644-2835

Other names 1

  • Natalie J Sernick Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201006001837 MI Practitioner - Clinical Social Worker 2961821202 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wholehearted Counseling Services LLC Social Worker CurrentSince Sep 15, 2020 Accepting new patients
Counseling Center of West Michigan, LLC CurrentSince Jan 27, 2021 Accepting new patients
Virtuwell Therapy, LLC PastSince Feb 4, 2024 Accepting new patients

Locations

333 Bridge St NW
Ste 1120
Grand Rapids, MI 49504
Phone 61680536601005

800 Monroe Ave NW
Ste 201
Grand Rapids, MI 49503
Phone (616) 558-8751

800 Monroe Ave NW
Ste 206
Grand Rapids, MI 49503
Phone (616) 206-4499

360 E Beltline Ave NE
Ste 100
Grand Rapids, MI 49506
Phone (616) 566-1021

3333 Deposit Dr NE
Ste 120
Grand Rapids, MI 49546
Phone (616) 940-3313

1403 60th St SE
Kentwood, MI 49508
Phone (616) 485-9561

65 S Main St
Ste A
Rockford, MI 49341

Organizations & group practices 3

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": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1841855178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 DIVOT DR NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495042470",
            "telephone_number": "616-644-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MONROE AVE NW STE 206",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031448",
            "telephone_number": "616-644-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAUER",
        "first_name": "NATALIE",
        "middle_name": "J",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801107876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "SERNICK",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.