Individual provider Active NPI

Lissa Marie Schwander, LMSW

  • Social Worker
  • Grand Rapids, MI
National Provider Identifier
1841996410
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801114876 Issued in MI
Practice address
411 Brenner St NE
Grand Rapids, MI 49505-5132
Phone
(616) 581-1405
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 6801114876 MI Primary

Addresses

Primary practice location

411 Brenner St NE
Grand Rapids, MI 49505-5132

Mailing address

411 Brenner St NE
Grand Rapids, MI 49505-5132
Phone (616) 581-1405

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
I20230605003222 MI Practitioner - Clinical Social Worker 6608233796 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801114876MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sheri Rodriguez & Associates Therapy CurrentSince May 25, 2023 Accepting new patients

Organizations & group practices 2

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": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1841996410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 BRENNER ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055132",
            "telephone_number": "616-581-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 BRENNER ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055132",
            "telephone_number": "616-581-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWANDER",
        "first_name": "LISSA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801114876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.