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ARIANA GABRIELLE DEHERDER
NPI 1124631338
Social Worker in Grand Rapids, MI

Active since August 26, 2020PECOS Enrolled
1115 BALL AVE NE, GRAND RAPIDS, MI 49505(616) 456-6571 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ariana Gabrielle Deherder NPPES

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

ARIANA GABRIELLE DEHERDER (NPI 1124631338) is an individual social worker in Grand Rapids, Michigan and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1124631338
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameARIANA GABRIELLE DEHERDER
Location Address1115 BALL AVE NEGrand Rapids, MI 49505-5904
Mailing Address10275 42nd Ave Apt 2214Allendale, MI 49401-9346 · (248) 212-8429
Phone(616) 456-6571
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 26, 2020
NPPES CertifiedAugust 26, 2020
✔ NPI 1124631338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1115 BALL AVE NE, Grand Rapids, MI 49505
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ariana Gabrielle Deherder is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224511514
PECOS Enrollment IDI20260314000313
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.

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.

JAMIE MARIE HENSON BSW
Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 240-1990
KATHARINE ELISABETH DANIELS
Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 456-6571
TODD JOHNSON
Counselor (Addiction (Substance Use Disorder))
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 456-6571
JOHN HUNT
Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 456-7775
TAYLOR BERGBOWER
Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 456-1443
MRS. KELLY SUE BOPRIE LMSW
Social Worker (Clinical)
1115 BALL AVE NE, BUILDING C
GRAND RAPIDS, MI 49505
Kent County (616) 459-7215
KATHLEEN MONROE
Counselor
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 456-6571
EMILY SALZMAN LMSW
Social Worker (Clinical)
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 451-3001

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 Ariana Deherder's NPI number?

The NPI number for Ariana Deherder is 1124631338. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Where is Ariana Deherder located?

Ariana Deherder practices at 1115 Ball Ave NE, Grand Rapids, MI 49505. The listed phone number is (616) 456-6571.

What is Ariana Deherder's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Ariana Deherder enrolled in Medicare?

Yes. Ariana Deherder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ariana Deherder was last updated on August 26, 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.