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DAVID EMMENECKER
NPI 1326648221
Social Worker in Grand Rapids, MI

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: October 25, 2026.

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

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 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show David Emmenecker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cherry Street Services, Inc.
8.5 mi
Federally Qualified Health Center (FQHC)
550 CHERRY ST SE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 115 clinicians in this Medicare group
NPI 1558459164 (616) 235-7289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
CANDY MCKENNEY
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
TAO CHANCE BROWN-EDWARDS
Behavior Analyst
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
MRS. REBECCA JOY BACK LMSW
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (269) 929-7342
SARA RENE QUASHNIE LLMSW
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
KIMERA RAIN HARRIS
Psychiatry & Neurology (Psychiatry)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (800) 678-5500
AMY LOUISE MCGAREY MSW
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
JUNE BUIKEMA-TEBEAU
Counselor (Mental Health)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000

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 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.

Where is David Emmenecker located?

David Emmenecker practices at 300 68th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 455-5000.

What is David Emmenecker's specialty?

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

Is David Emmenecker enrolled in Medicare?

Yes. David Emmenecker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Emmenecker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Emmenecker reassigns Medicare benefits to Cherry Street Services, Inc. (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Emmenecker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Emmenecker accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list David Emmenecker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.