KIMBERLEY JOANNE VANHAITSMA LMSW
NPI 1053908822
Social Worker - Clinical in Grandville, MI

Active since December 28, 2020
3102 VERMONT AVE SW, GRANDVILLE, MI 49418(616) 446-7240 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberley Joanne Vanhaitsma Lmsw NPPES

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

KIMBERLEY JOANNE VANHAITSMA LMSW (NPI 1053908822) is an individual clinical provider in Grandville, Michigan, licensed in Michigan (6801092457) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1053908822
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLEY JOANNE VANHAITSMACredential: LMSW
Location Address3102 VERMONT AVE SWGrandville, MI 49418-1676
Mailing Address3102 Vermont Ave SwGrandville, MI 49418-1676 · (616) 446-7240
Sole ProprietorYes
Enumeration DateDecember 28, 2020
NPPES CertifiedDecember 28, 2020
NPI 1053908822 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 · 6801092457
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.
3102 VERMONT AVE SW, Grandville, MI 49418

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 Kimberley Vanhaitsma's NPI number?

The NPI number for Kimberley Vanhaitsma is 1053908822. It was assigned to this individual provider in the NPPES registry on December 28, 2020.

Where is Kimberley Vanhaitsma located?

Kimberley Vanhaitsma practices at 3102 Vermont Ave SW, Grandville, MI 49418. The listed phone number is (616) 446-7240.

What is Kimberley Vanhaitsma's specialty?

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

When was this NPI record last updated?

The NPPES record for Kimberley Vanhaitsma was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.