Individual provider Active NPI

Kaitlyn Ilene Seiter, LLMSW

  • Clinical Social Worker
  • Marne, MI
National Provider Identifier
1992403182
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851115101 Issued in MI
Practice address
15146 16TH Ave
Marne, MI 49435-9605
Phone
(616) 288-6970
NPI assigned
Feb 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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 6851115101 MI Primary

Addresses

Primary practice location

15146 16TH Ave
Marne, MI 49435-9605

Mailing address

15146 16TH Ave
Marne, MI 49435-9605
Phone (616) 288-6970

Other practice location 1

221 John St NE
Grand Rapids, MI 49503-3237
Phone (616) 288-6970

Other practice location 2

540 Cherry St SE
Grand Rapids, MI 49503-4748
Phone (616) 288-6970

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
I20250522003294 MI Practitioner - Clinical Social Worker 7618496589 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851115101MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Center of West Michigan PLLC CurrentSince Feb 1, 2026 Accepting new patients
Bloom Behavioral Health Partners PLLC Social Worker CurrentSince Apr 15, 2025 Accepting new patients
Aac on the Lakeshore, PLLC PastSince Apr 15, 2025 Accepting new patients

Locations

1514 Wealthy St SE
Ste 242
Grand Rapids, MI 49506
Phone (616) 202-2138

1345 Monroe Ave NW
Ste 332
Grand Rapids, MI 49505
Phone (616) 368-7428

Organizations & group practices 3

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": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1992403182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15146 16TH AVE",
            "city": "MARNE",
            "state": "MI",
            "postal_code": "494359605",
            "telephone_number": "616-288-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15146 16TH AVE",
            "city": "MARNE",
            "state": "MI",
            "postal_code": "494359605",
            "telephone_number": "616-288-6970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 John St NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495033237",
            "country_code": "US",
            "telephone_number": "616-288-6970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 Cherry St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495034748",
            "country_code": "US",
            "telephone_number": "616-288-6970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEITER",
        "first_name": "KAITLYN",
        "middle_name": "ILENE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851115101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marne, MI

Sources for this page

Verify at the official NPI Registry.