Individual provider Active NPI

Morgan Rae Kanigowski, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1912876467
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801120060 Issued in MI
Practice address
416 Plymouth Ave NE
Grand Rapids, MI 49505-6028
Phone
(616) 202-6480
NPI assigned
Nov 3, 2025
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 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 6801120060 MI Primary

Addresses

Primary practice location

416 Plymouth Ave NE
Grand Rapids, MI 49505-6028

Mailing address

1015 Lilac CT NE
Grand Rapids, MI 49503-3615
Phone (248) 219-4984

Other practice location 1

1015 Lilac Ct NE
Grand Rapids, MI 49503-3615
Phone (248) 219-4984

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
I20251120000590 MI Practitioner - Clinical Social Worker 1557853322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

416 Plymouth Ave NE
Grand Rapids, MI 49505-6028

PO Box
Suite 140241
Grand Rapids, MI 49514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801120060MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grounded in Growth LLC Single Specialty CurrentSince Nov 4, 2025 Accepting new patients

Locations

416 Plymouth Ave NE
Grand Rapids, MI 49505
Phone (616) 202-6480

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1912876467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 LILAC CT NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033615",
            "telephone_number": "248-219-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 PLYMOUTH AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495056028",
            "telephone_number": "616-202-6480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Lilac Ct NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495033615",
            "country_code": "US",
            "telephone_number": "248-219-4984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANIGOWSKI",
        "first_name": "MORGAN",
        "middle_name": "RAE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801120060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.