Organization Active NPI

Lisa Williams Bratsburg, LMSW, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Grand Rapids, MI
National Provider Identifier
1932974128
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
LISA WILLIAMS BRATSBURG, LMSW, LLC
Practice address
800 Monroe Ave NW
Grand Rapids, MI 49503-1445
Phone
(616) 802-8732
NPI assigned
Nov 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Lisa Bratsburg, LMSWNPI 1093062523
Title
Clinical Social Worker
Phone
(616) 802-8732

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

800 Monroe Ave NW
Grand Rapids, MI 49503-1445

Mailing address

3075 Beechforest St
Hudsonville, MI 49426-1710
Phone (616) 802-8732

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1932974128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 BEECHFOREST ST",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261710",
            "telephone_number": "616-802-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MONROE AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031445",
            "telephone_number": "616-802-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA WILLIAMS BRATSBURG, LMSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "BRATSBURG",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "616-802-8732",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.