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PHILIP DEZERN
NPI 1295509859
Social Worker in Grand Rapids, MI

Active since November 14, 2023PECOS Enrolled
5020 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525(616) 439-1866 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Philip Dezern NPPES

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

PHILIP DEZERN (NPI 1295509859) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6851093862) and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295509859
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NamePHILIP DEZERN
Location Address5020 E BELTLINE AVE NEGrand Rapids, MI 49525-6869
Mailing Address5050 Rum Creek Ct SeKentwood, MI 49508-5280 · (616) 633-0994
Phone(616) 439-1866
Sole ProprietorNo
Enumeration DateNovember 14, 2023
NPPES CertifiedNovember 11, 2023
✔ NPI 1295509859 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 · 6851093862
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.
5020 E BELTLINE AVE NE, Grand Rapids, MI 49525
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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)

Philip Dezern 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 8

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

HZ CHIRO GR PC
Chiropractor
5020 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4448
WRIGHT CHIROPRACTIC PC
Chiropractor
5020 E BELTLINE AVE NE, SUITE 103
GRAND RAPIDS, MI 49525
Kent County (616) 364-4448
ALLISON JOY SMITH MA, LLPC
Counselor
5020 E BELTLINE AVE NE, SUITE 202
GRAND RAPIDS, MI 49525
Kent County (616) 439-1866
KEVIN GREG MAYBURY LLPC
Counselor (Mental Health)
5020 E BELTLINE AVE NE, SUITE 202
GRAND RAPIDS, MI 49525
Kent County (616) 439-1866
ASHLEY RENEE DYKSTRA LMSW
Social Worker
5020 E BELTLINE AVE NE, SUITE 202
GRAND RAPIDS, MI 49525
Kent County (616) 405-0637
SASHA ROSE BRATTAIN MSW
Social Worker
5020 E BELTLINE AVE NE, STE 202
GRAND RAPIDS, MI 49525
Kent County (616) 439-1866
LAURA NICOLE MARCUS LMSW
Social Worker (Clinical)
5020 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 439-1866
DR. CHRISTOPHER JAMES WRIGHT D.C.
Chiropractor
5020 E BELTLINE AVE NE, SUITE 103
GRAND RAPIDS, MI 49525
Kent County (616) 262-5694

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 Philip Dezern's NPI number?

The NPI number for Philip Dezern is 1295509859. It was assigned to this individual provider in the NPPES registry on November 14, 2023.

Where is Philip Dezern located?

Philip Dezern practices at 5020 E Beltline Ave NE, Grand Rapids, MI 49525. The listed phone number is (616) 439-1866.

What is Philip Dezern's specialty?

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

Is Philip Dezern enrolled in Medicare?

Yes. Philip Dezern is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Philip Dezern was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.