MRS. MARY ALICE WALKER BLANKER LMSW, CAADC, ADS
NPI 1114335817
Social Worker - Clinical in Grand Rapids, MI

Active since July 25, 2014PECOS Enrolled
1115 BALL AVE, NE, BUILDING C, GRAND RAPIDS, MI 49505(616) 459-7215(616) 451-0020 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Mary Alice Walker Blanker Lmsw, Caadc, Ads NPPES

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

MRS. MARY ALICE WALKER BLANKER LMSW, CAADC, ADS (NPI 1114335817) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801093780) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1114335817
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MARY ALICE WALKER BLANKERCredential: LMSW, CAADC, ADS
Location Address1115 BALL AVE, NE, BUILDING CGrand Rapids, MI 49505-5904
Mailing Address1115 Ball Ave, Ne, Building CGrand Rapids, MI 49505-5904 · (616) 459-7215 · Fax (616) 451-0020
Fax(616) 451-0020
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 25, 2014
Last NPPES UpdateFebruary 17, 2020
✔ NPI 1114335817 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 · 6801093780
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.
1115 BALL AVE, NE, Grand Rapids, MI 49505

Other Names 1

Former Name (1)Ms. Mary Alice Walker Lmsw, Caadc, Ads

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Alice Walker Blanker Lmsw, Caadc, Ads is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416238910
PECOS Enrollment IDI20161221000280
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 Reassignments

2

Medicare enrollment records show Mary Alice Blanker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
1115 BALL AVE NE
Grand Rapids, MI 49505
  • Reassigned Medicare billing, Michigan enrollment
  • 35 clinicians in this Medicare group
Clinical
2305 E PARIS AVE SE STE 203
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 9 clinicians in this Medicare group

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 49505 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.

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 Mary Alice Blanker's NPI number?

The NPI number for Mary Alice Blanker is 1114335817. It was assigned to this individual provider in the NPPES registry on July 25, 2014. The provider is also known as Ms. Mary Alice Walker Lmsw, Caadc, Ads.

Where is Mary Alice Blanker located?

Mary Alice Blanker practices at 1115 Ball Ave, NE Building C, Grand Rapids, MI 49505. The listed phone number is (616) 459-7215.

What is Mary Alice Blanker's specialty?

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

Is Mary Alice Blanker enrolled in Medicare?

Yes. Mary Alice Blanker is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Alice Blanker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Alice Blanker reassigns Medicare benefits to 2 organizations: Arbor Circle Corporation (Grand Rapids, MI) and Stange Clinic, PC (Grand Rapids, MI). Each 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 Mary Alice Blanker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Alice Blanker accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Mary Alice Blanker 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 Mary Alice Blanker was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.