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HOLLY BATHRICK LMSW PLLC
NPI 1104540343
Social Worker - Clinical in Grand Rapids, MI

Active since September 30, 2022
456 PLYMOUTH AVE NE STE B, GRAND RAPIDS, MI 49505(616) 439-0079 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2025, Sep 30, 2022 (2 updates tracked since 2022).

About Holly Bathrick Lmsw Pllc NPPES

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

HOLLY BATHRICK LMSW PLLC (NPI 1104540343) is a healthcare organization registered as a clinical in Grand Rapids, Michigan and active in the NPI registry since September 2022. The organization lists Holly Bathrick, Owner, as its authorized official.

NPPES Registry Identity

NPI1104540343
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameHOLLY BATHRICK LMSW PLLC
Location Address456 PLYMOUTH AVE NE STE BGrand Rapids, MI 49505-6053
Mailing Address911 Peachcrest Ct NeGrand Rapids, MI 49505-6434
Phone(616) 439-0079
Organization SubpartNo
Authorized OfficialHolly BathrickOwner · (616) 439-0079
Enumeration DateSeptember 30, 2022
Last NPPES UpdateSeptember 24, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
✔ NPI 1104540343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
456 PLYMOUTH AVE NE STE B, Grand Rapids, MI 49505
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MS. LYNN JACKSON M.A., L.L.P.
Psychologist (Counseling)
456 PLYMOUTH AVE NE STE B
GRAND RAPIDS, MI 49505
Kent County (616) 345-0414
HOLLY BATHRICK LMSW
Social Worker (Clinical)
456 PLYMOUTH AVE NE STE B
GRAND RAPIDS, MI 49505
Kent County (616) 439-0079

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 Holly Bathrick Lmsw PLLC's NPI number?

The NPI number for Holly Bathrick Lmsw PLLC is 1104540343. It was assigned to this organization in the NPPES registry on September 30, 2022.

Where is Holly Bathrick Lmsw PLLC located?

Holly Bathrick Lmsw PLLC is located at 456 Plymouth Ave NE Ste B, Grand Rapids, MI 49505. The listed phone number is (616) 439-0079.

What is Holly Bathrick Lmsw PLLC'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 Holly Bathrick Lmsw PLLC was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.