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KATHRYN BULTMAN
NPI 1124120670
Social Worker - Clinical in Grand Rapids, MI

Active since September 05, 2006
1179 E PARIS AVE SE, GRAND RAPIDS, MI 49546(616) 460-1857(616) 454-0061 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathryn Bultman NPPES

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

KATHRYN BULTMAN (NPI 1124120670) is a healthcare organization registered as a clinical in Grand Rapids, Michigan and active in the NPI registry since September 2006. The organization lists Kathryn Bultman, Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1124120670
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKATHRYN BULTMAN L.L.C.
Location Address1179 E PARIS AVE SEGrand Rapids, MI 49546-8371
Mailing Address2231 Ridgecroft Ave SeGrand Rapids, MI 49546-5759 · (616) 460-1857 · Fax (616) 454-0061
Phone(616) 460-1857
Fax(616) 454-0061
Organization SubpartNo
Authorized OfficialKathryn BultmanClinical Social Worker · (616) 460-1857
Enumeration DateSeptember 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1124120670 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 · 6801082187
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.
1179 E PARIS AVE SE, Grand Rapids, MI 49546
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Other Names 1

Other NameKathryn Bultman

Other Identifiers 1

Other1316972706MI · Individual Npi

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 17

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

SPECTRUM HEALTH PRIMARY CARE PARTNERS
Psychiatry & Neurology (Psychiatry)
1179 E PARIS AVE SE, STE. 220
GRAND RAPIDS, MI 49546
Kent County (616) 454-2004
DR. ROBERT CRAIG PAYNE D.D.S.
Dentist (Pediatric Dentistry)
1179 E PARIS AVE SE, SUITE 130
GRAND RAPIDS, MI 49546
Kent County (616) 942-9840
GREAT LAKES PSYCHIATRIC SERVICES, P.C.
Clinic/Center (Adult Mental Health)
1179 E PARIS AVE SE, SUITE 220
GRAND RAPIDS, MI 49546
Kent County (616) 454-2004
DR. ANDREW M. BEHLER D.O.,M.P.H.
Otolaryngology (Facial Plastic Surgery)
1179 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 252-5760
ASSOCIATED RETINAL CONSULTANTS, PC
Ophthalmology
1179 E PARIS AVE SE, 250
GRAND RAPIDS, MI 49546
Kent County (616) 942-2406
MS. LOUISE ANN SOMMER LMSW
Social Worker (Clinical)
1179 E PARIS AVE SE, SUITE # 220
GRAND RAPIDS, MI 49546
Kent County (616) 454-2004
DR. JAMES ANTHONY SPOTO DO
Otolaryngology (Facial Plastic Surgery)
1179 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 252-5760
GRADY S RANDALL DDS
Dentist (Pediatric Dentistry)
1179 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 942-9840

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 Kathryn Bultman L.L.C.'s NPI number?

The NPI number for Kathryn Bultman L.L.C. is 1124120670. It was assigned to this organization in the NPPES registry on September 5, 2006. The provider is also known as Kathryn Bultman.

Where is Kathryn Bultman L.L.C. located?

Kathryn Bultman L.L.C. is located at 1179 E Paris Ave SE, Grand Rapids, MI 49546. The listed phone number is (616) 460-1857.

What is Kathryn Bultman L.L.C.'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 Kathryn Bultman L.L.C. was last updated on August 22, 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.