Active NPI
Megan E Bardenhagen, LLMSW
- Social Worker
- Grand Rapids, MI
National Provider Identifier
1942937339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6851116331
- Practice address
- 233 Fulton St E Ste 222
Grand Rapids, MI 49503-3262 - Phone
- (616) 490-3468
- NPI assigned
- Aug 4, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | 6851116331 | MI | Primary |
Addresses
Primary practice location
233 Fulton St E Ste 222
Grand Rapids, MI 49503-3262
Mailing address
233 Fulton St E Ste 222
Grand Rapids, MI 49503-3262
Phone (616) 490-3468
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851116331 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartstone Guidance Center LLC | Social Worker | Current | Accepting new patients |
| Arbor Circle Corporation | Past | Accepting new patients |
Locations
233 Fulton St E
Ste 222
Grand Rapids, MI 49503
Phone (616) 490-3468
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.
-
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1831605567
-
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1174601512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1942937339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 FULTON ST E STE 222",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495033262",
"telephone_number": "616-490-3468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 FULTON ST E STE 222",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495033262",
"telephone_number": "616-490-3468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARDENHAGEN",
"first_name": "MEGAN",
"middle_name": "E",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-04",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6851116331",
"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 Jun 12, 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.