Individual provider Active NPI

Kristen Bianchi, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1871181115
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801119998 Issued in MI
Practice address
55 Ionia Ave NW Apt 709
Grand Rapids, MI 49503-3009
Phone
(312) 882-2064
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801119998 MI Primary

Addresses

Primary practice location

55 Ionia Ave NW Apt 709
Grand Rapids, MI 49503-3009

Mailing address

55 Ionia Ave NW Apt 709
Grand Rapids, MI 49503-3009
Phone (312) 882-2064

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
I20250807001877 MI Practitioner - Clinical Social Worker 8123526316 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801119998MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stange Clinic, PC CurrentSince Sep 15, 2025 Accepting new patients

Locations

2305 East Paris Ave SE
Ste 203
Grand Rapids, MI 49546
Phone (616) 816-1758

4175 Parkway Place Dr SW
Ste 100
Grandville, MI 49418
Phone (616) 371-5166

Organizations & group practices 1

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": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1871181115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 IONIA AVE NW APT 709",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033009",
            "telephone_number": "312-882-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 IONIA AVE NW APT 709",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033009",
            "telephone_number": "312-882-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCHI",
        "first_name": "KRISTEN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.