Jill Suzann Vander Bent, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

680108550 Issued in MI

Practice address

186 S River Ave
Suite 5
Holland, MI 49423-2848

Phone

(616) 260-0993

NPI assigned

Nov 15, 2006

Last updated

Dec 12, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Abundance of Hope

  • Clinical Social Worker
  • Holland, MI
  • NPI 1871044214
  Medicare reassignment NPD Authorized official
• Bethany Christian Services, Inc

  • Community/Behavioral Health Agency
  • Holland, MI
  • NPI 1629134341
  Medicare reassignment NPD
• Bethany Christian Services Inc.

  • Community/Behavioral Health Agency
  • Grand Rapids, MI
  • NPI 1528104643
  NPD

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1952473928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 S RIVER AVE",
            "address_2": "SUITE 5",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494232848",
            "telephone_number": "616-260-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 S RIVER AVE",
            "address_2": "SUITE 5",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494232848",
            "telephone_number": "616-260-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER BENT",
        "first_name": "JILL",
        "middle_name": "SUZANN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "680108550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Lynn Vandenbos, APN
• Stacy Vandenbrand
• Sarah E Vandenheuvel, LMSW
• Tony Vandenhoek
• Brett Thomas Vander Baan, MD
• Rachel Vander Laan
• Marcy Elaine Vander Meer, LLMSW
• Jennifer Lynn Vander Veen, LLC
• Stephanie Anne Vander Velde, PA-C
• Philip Vander Vennen, LLBSW

• Clinical Social Worker in Holland, MI
• Providers in Holland, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.