PINE REST TELEHEALTH CLINIC - NPI 1568040368 - Social Worker in Grand Rapids, MI

Q: What is Pine Rest Christian Mental Health Services's specialty?

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

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About Pine Rest Telehealth Clinic NPPES

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

PINE REST TELEHEALTH CLINIC (NPI 1568040368) is a healthcare organization registered as a social worker in Grand Rapids, Michigan and active in the NPI registry since April 2021. The organization lists Diane M Fennema, Managed Care Administrator, as its authorized official.

NPPES Registry Identity

NPI1568040368

Entity TypeOrganization

Primary Taxonomy104100000X

Legal Business NamePINE REST CHRISTIAN MENTAL HEALTH SERVICES

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

Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 281-6372 · Fax (616) 281-6459

Phone(616) 281-6372

Fax(616) 281-6459

Organization SubpartNo

Authorized OfficialDiane M FennemaManaged Care Administrator · (616) 281-6372

Enumeration DateApril 1, 2021

Last NPPES UpdateMarch 11, 20222 updates tracked since enumeration

NPPES CertifiedMarch 11, 2022

✔ NPI 1568040368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

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 ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

300 68TH ST SE, Grand Rapids, MI 49548

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Other Names 1

Other NamePine Rest Telehealth Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)