Carrie Zinser, LMSW – School Social Worker

Key facts

NPI: 1992943757
Entity type: Individual (NPI type 1)
Primary specialty: School Social Worker 1041S0200X
License: 6801085231 (MI)
Practice address: 3292 N Evergreen Dr NE
Grand Rapids, MI 49525
Phone: (616) 365-8920
NPI assigned: Jan 30, 2009
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Healthy Mind Counseling PLLC Social Worker · Fremont, MI · NPI 1295280253

Medicare reassignment Care Compare group NPD MI · SOCIAL WORKER

Medicare Care Compare profile

Specialty: Clinical Social Worker
Education: Other, 1996
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Healthy Mind Counseling PLLC (11 clinicians)

Practice addresses (Care Compare)

6995 W 48TH St
Fremont, MI 49412-9506
Phone 231335171833

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MI
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20191120001533	MI	Practitioner - Clinical Social Worker	1153753736	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Healthy Mind Counseling PLLC	Social Worker	Current since Oct 31, 2023	Accepting new patients

Locations

6995 W 48th St
Fremont, MI 49412
Phone (231) 335-1718

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Analyst	103K00000X
School Social Worker	1041S0200X	6801085231	MI	Yes

Addresses

Primary practice location

3292 N Evergreen Dr NE
Grand Rapids, MI 49525

Mailing address

3292 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone (616) 365-8920

Other practice location 1

3351 Eagle Run Dr NE
Grand Rapids, MI 49525-7070
Phone (616) 365-8920

Other practice location 2

3351 Eagle Run Dr NE
Grand Rapids, MI 49525-7070
Phone (616) 365-8920

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 8, 2019.

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1992943757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3292 N EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259746",
            "telephone_number": "616-365-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 N EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49525",
            "telephone_number": "616-365-8920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3351 Eagle Run Dr NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495257070",
            "country_code": "US",
            "telephone_number": "616-365-8920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3351 Eagle Run Dr NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495257070",
            "country_code": "US",
            "telephone_number": "616-365-8920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZINSER",
        "first_name": "CARRIE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MI",
            "license": "6801085231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

All providers in Grand Rapids, MI · School Social Worker in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.