DAVID EMMENECKER
NPI 1326648221
Social Worker in Grand Rapids, MI

Q: What is David Emmenecker's NPI number?

The NPI number for David Emmenecker is 1326648221. It was assigned to this individual provider in the NPPES registry on October 29, 2020.

Q: What is David Emmenecker'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 David Emmenecker was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 29, 2020PECOS Enrolled

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

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2022, Jan 31, 2022, Oct 29, 2020 (3 updates tracked since 2020).

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About David Emmenecker NPPES

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

DAVID EMMENECKER (NPI 1326648221) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6851114045) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1326648221

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameDAVID EMMENECKER

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

Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 258-7467

Phone(616) 455-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 29, 2020

Last NPPES UpdateDecember 13, 20223 updates tracked since enumeration

NPPES CertifiedDecember 13, 2022

✔ NPI 1326648221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MI · 6851114045

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.

Also ListedCounselorTaxonomy 101Y00000X

300 68TH ST SE, Grand Rapids, MI 49548

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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)

David Emmenecker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749762532

PECOS Enrollment IDI20260302002166

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)