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CLAIRE SPRICH BERKEL LMSW
NPI 1023743465
Social Worker - Clinical in Grand Rapids, MI

Active since July 20, 2022PECOS Enrolled
100/100
CMS Quality Rating
4069 LAKE DR SE STE 118, GRAND RAPIDS, MI 49546(616) 267-8520 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2024, Oct 13, 2022, Sep 15, 2022 and 1 more (4 updates tracked since 2022).

About Claire Sprich Berkel Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLAIRE SPRICH BERKEL LMSW (NPI 1023743465) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801094129) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023743465
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCLAIRE SPRICH BERKELCredential: LMSW
Location Address4069 LAKE DR SE STE 118Grand Rapids, MI 49546-8816
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 267-8520
Sole ProprietorNo
Enumeration DateJuly 20, 2022
Last NPPES UpdateJune 24, 20244 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1023743465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801094129
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4069 LAKE DR SE STE 118, Grand Rapids, MI 49546
Open in Google Maps ↗

Other Names 1

Former Name (1)Claire Sprich Lmsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Claire Sprich Berkel Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Claire Berkel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spectrum Health Primary Care Partners
Same address
Dietitian, Registered
4069 LAKE DR SE, STE. 315
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1043655780 (616) 267-8950

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY GRACE HOXIE DPT
Physical Therapist
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520
DR. ELIZABETH MICHEL HARRIS PT
Physical Therapist
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520
JULIA ANN WITTE WHNP-BC
Nurse Practitioner
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520
LAURA NICOLE LOVE DNP
Nurse Practitioner (Gerontology)
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520
ELIZABETH ELLEN PAYNE PA
Physician Assistant
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520
LAURA M DEFRAIA CNP
Nurse Practitioner (Women's Health)
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520
LUANN VANDERLIND ARNSON LMSW
Social Worker (Clinical)
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520
BARBARA ANN MCCLURG LMSW
Social Worker (Clinical)
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Claire Berkel's NPI number?

The NPI number for Claire Berkel is 1023743465. It was assigned to this individual provider in the NPPES registry on July 20, 2022. The provider is also known as Claire Sprich Lmsw.

Where is Claire Berkel located?

Claire Berkel practices at 4069 Lake Dr SE Ste 118, Grand Rapids, MI 49546. The listed phone number is (616) 267-8520.

What is Claire Berkel's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Claire Berkel enrolled in Medicare?

Yes. Claire Berkel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Claire Berkel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claire Berkel reassigns Medicare benefits to Spectrum Health Primary Care Partners (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Claire Berkel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claire Berkel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Claire Berkel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Claire Berkel was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.