Active NPI
Alysia Marie Dendrinos, LMSW
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1922309947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801090191
- Practice address
- 360 E Beltline Ave NE Ste 100
Grand Rapids, MI 49506-1214 - Phone
- (616) 566-1021
- NPI assigned
- Nov 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 6801090191 | MI | Primary |
Addresses
Primary practice location
360 E Beltline Ave NE Ste 100
Grand Rapids, MI 49506-1214
Mailing address
201 Sheldon Blvd SE
Grand Rapids, MI 49503-4513
Phone (616) 459-0255
Other practice location 1
790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone (616) 855-8958
Other names 1
- Miss Alysia Marie Nawrocki
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801090191 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtuwell Therapy, LLC | Past | Accepting new patients | |
| Touchstone Innovare | Clinical | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Grand Rapids, MI
- NPI 1871356212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1922309947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 SHELDON BLVD SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034513",
"telephone_number": "616-459-0255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 E BELTLINE AVE NE STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495061214",
"telephone_number": "616-566-1021"
}
],
"practiceLocations": [
{
"address_1": "790 Fuller Ave NE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495031918",
"country_code": "US",
"telephone_number": "616-855-8958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENDRINOS",
"first_name": "ALYSIA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-08",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801090191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSIA",
"last_name": "NAWROCKI",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}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 Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.