TIMOTHY E BOZUNG LMSW
NPI 1285802173
Social Worker in Grand Rapids, MI

Q: What is Timothy Bozung's NPI number?

The NPI number for Timothy Bozung is 1285802173. It was assigned to this individual provider in the NPPES registry on February 14, 2008.

Q: What is Timothy Bozung's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Timothy Bozung was last updated on February 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since February 14, 2008PECOS Enrolled

300 68TH ST SE, GRAND RAPIDS, MI 49548(616) 455-5000 Get Directions Write a Review

NPPES record last updated: February 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Timothy E Bozung Lmsw NPPES

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

TIMOTHY E BOZUNG LMSW (NPI 1285802173) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6801081391) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285802173

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameTIMOTHY E BOZUNGCredential: LMSW

Location Address300 68TH ST SEGrand Rapids, MI 49548-6927

Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000

Phone(616) 455-5000

Sole ProprietorYes

Enumeration DateFebruary 14, 2008

✔ NPI 1285802173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MI · 6801081391

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.

300 68TH ST SE, Grand Rapids, MI 49548

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Other Identifiers 3

Other8008956160MI · Bc/bs

Medicare PIND16222120MI

Medicare UPINQ08670MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy E Bozung Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

JILLIAN LEIGH MURRAY L.C.S.W

Social Worker (Clinical)