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CONNOR JALAINE CARLSON-YDERSTAD LLMSW
NPI 1356108658
Social Worker in Grand Rapids, MI

Active since March 04, 2024
300 68TH ST SE, GRAND RAPIDS, MI 49548(810) 569-7869 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Connor Jalaine Carlson-yderstad Llmsw NPPES

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

CONNOR JALAINE CARLSON-YDERSTAD LLMSW (NPI 1356108658) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6851109792) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1356108658
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameCONNOR JALAINE CARLSON-YDERSTADCredential: LLMSW
Location Address300 68TH ST SEGrand Rapids, MI 49548-6927
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000 · Fax (616) 281-6459
Phone(810) 569-7869
Sole ProprietorYes
Enumeration DateMarch 4, 2024
NPPES CertifiedMarch 4, 2024
✔ NPI 1356108658 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 · 6851109792
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 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 Connor Carlson-yderstad's NPI number?

The NPI number for Connor Carlson-yderstad is 1356108658. It was assigned to this individual provider in the NPPES registry on March 4, 2024.

Where is Connor Carlson-yderstad located?

Connor Carlson-yderstad practices at 300 68th St SE, Grand Rapids, MI 49548. The listed phone number is (810) 569-7869.

What is Connor Carlson-yderstad's specialty?

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

When was this NPI record last updated?

The NPPES record for Connor Carlson-yderstad was last updated on March 4, 2024. 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.