Active NPI
Erin Desmet, MSW
- Clinical Social Worker
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801098237
- Practice address
- 3300 36TH St SE
Grand Rapids, MI 49512-2810 - Phone
- (616) 942-2110
- NPI assigned
- Jun 20, 2017
- Last updated
- Nov 20, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801098237 | MI | Primary |
Addresses
Primary practice location
3300 36TH St SE
Grand Rapids, MI 49512-2810
Mailing address
3300 36TH St SE
Grand Rapids, MI 49512-2810
Phone (616) 942-2110
Other practice location 1
756 Fulton St W Ste 201
Grand Rapids, MI 49504-6406
Phone (616) 222-0631 ext. 702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801098237 | Other | MI | LICENSED SOCIAL WORKER |
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
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
756 Fulton St W
Grand Rapids, MI 49504-6404
Phone (616) 222-0631
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801098237 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burke Group Counseling & Consulting Professionals LLC | Clinical | Current | Accepting new patients |
Locations
756 Fulton St W
Grand Rapids, MI 49504
Phone (616) 222-0631
756 Fulton St W
Ste 201
Grand Rapids, MI 49504
Phone 6162220631 ext. 702
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Grandville, MI
- NPI 1639593627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1902326135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 36TH ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495122810",
"telephone_number": "616-942-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 36TH ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495122810",
"telephone_number": "616-942-2110"
}
],
"practiceLocations": [
{
"address_1": "756 Fulton St W Ste 201",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495046406",
"country_code": "US",
"telephone_number": "616-222-0631 x702",
"fax_number": "616-222-0631",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESMET",
"first_name": "ERIN",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-20",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801098237",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED SOCIAL WORKER",
"identifier": "6801098237",
"state": "MI"
}
],
"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 Nov 20, 2019; 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.