Individual provider Active NPI

Dana Lynn Stein

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1861127144
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851109965 Issued in MI
Practice address
6537 Wendell St SE
Grand Rapids, MI 49546-6817
Phone
(586) 925-3950
NPI assigned
Jul 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6851109965 MI Primary

Addresses

Primary practice location

6537 Wendell St SE
Grand Rapids, MI 49546-6817

Mailing address

550 Cascade West Pkwy SE
Grand Rapids, MI 49546-2137
Phone (616) 930-4123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851109965MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
616 Counseling Professional Corporation Clinical CurrentSince Jul 24, 2022 Accepting new patients
David W Hamilton PSYD PLLC Multi-Specialty PastSince Jul 24, 2022 Accepting new patients

Locations

550 Cascade West Pkwy SE
Grand Rapids, MI 49546
Phone (616) 930-4123

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": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1861127144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 CASCADE WEST PKWY SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462137",
            "telephone_number": "616-930-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6537 WENDELL ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466817",
            "telephone_number": "586-925-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851109965",
            "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 Jul 20, 2022; 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.