Individual provider Active NPI

Valerie Lynn Petre

  • Clinical Social Worker
  • Holland, MI
National Provider Identifier
1912645904
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801119766 Issued in MI
Practice address
238 Hoover Blvd Ste 30
Holland, MI 49423-3782
Phone
(616) 251-1976
NPI assigned
May 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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 6801119766 MI Primary

Addresses

Primary practice location

238 Hoover Blvd Ste 30
Holland, MI 49423-3782

Mailing address

14767 Anchor CT
Holland, MI 49424-5424

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
I20250317002567 MI Practitioner - Clinical Social Worker 0042732307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emhpe Michigan PLLCGroup PAC ID 4082088588, 8 clinicians

Practice addresses (Care Compare)

238 Hoover Blvd
Suite 30
Holland, MI 49423-3782
Phone (616) 312-2989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801119766MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Reach for Recovery, Inc. Clinical CurrentSince Feb 11, 2025 Accepting new patients
Emhpe Michigan PLLC Clinical CurrentSince Aug 25, 2025 Accepting new patients
Reach for Recovery, Inc. Clinical CurrentSince Feb 11, 2025 Accepting new patients

Locations

600 S Beacon Blvd
Ste D
Grand Haven, MI 49417
Phone (616) 691-6764

483 Century Ln
Holland, MI 49423
Phone (616) 396-5284

238 Hoover Blvd
Ste 30
Holland, MI 49423
Phone (616) 312-2989

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": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1912645904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14767 ANCHOR CT",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494245424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 HOOVER BLVD STE 30",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233782",
            "telephone_number": "616-251-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRE",
        "first_name": "VALERIE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.