Individual provider Active NPI

Karla Sue Verhage, LMSW

  • Clinical Social Worker
  • Kentwood, MI
National Provider Identifier
1952603276
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090574 Issued in MI
Practice address
740 36TH St SE
Kentwood, MI 49548-2344
Phone
(616) 456-6571
Fax
(616) 475-8304
NPI assigned
Nov 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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 6801090574 MI Primary

Addresses

Primary practice location

740 36TH St SE
Kentwood, MI 49548-2344

Mailing address

740 36TH St SE
Kentwood, MI 49548-2344
Phone (616) 456-6571

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
I20120516000363 MI Practitioner - Clinical Social Worker 1153584859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arbor Circle CorporationGroup PAC ID 2668362393, 18 clinicians
Kent County CMH AuthorityGroup PAC ID 9436314143, 63 clinicians

Practice addresses (Care Compare)

1101 NE Ball Ave
Grand Rapids, MI 49505-5904
Phone (616) 456-7775

1115 Ball Ave NE
Grand Rapids, MI 49505-5904
Phone (616) 459-7215

790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone (616) 825-5412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kent County CMH Authority CurrentSince Oct 1, 2025 Accepting new patients
Kent County CMH Authority CurrentSince Oct 1, 2025 Accepting new patients
Arbor Circle Corporation Clinical CurrentSince Apr 1, 2012 Accepting new patients
Arbor Circle Corporation Past Accepting new patients
Kent County CMH Authority Past Accepting new patients
Arbor Circle Corporation Past Accepting new patients

Locations

790 Fuller Ave NE
Grand Rapids, MI 49503
Phone (616) 336-3765

260 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 459-1267

1115 Ball Ave NE
Grand Rapids, MI 49505
Phone (616) 451-3001

1101 Ball Ave NE
Grand Rapids, MI 49505
Phone (616) 456-7775

740 36th St SE
Wyoming, MI 49548
Phone (616) 475-8300

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1952603276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 36TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495482344",
            "telephone_number": "616-456-6571",
            "fax_number": "616-475-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 36TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495482344",
            "telephone_number": "616-456-6571",
            "fax_number": "616-475-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERHAGE",
        "first_name": "KARLA",
        "middle_name": "SUE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

Verify at the official NPI Registry.