RADICAL THERAPY PLLC
NPI 1578414850
Social Worker - Clinical in Grand Rapids, MI

Active since February 04, 2026
800 MONROE AVE NW STE 314, GRAND RAPIDS, MI 49503(616) 481-1479 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2026, Feb 4, 2026 (2 updates tracked since 2026).

About Radical Therapy Pllc NPPES

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

RADICAL THERAPY PLLC (NPI 1578414850) is a healthcare organization registered as a clinical in Grand Rapids, Michigan and active in the NPI registry since February 2026. The organization lists Rachel Dziabuda, Owner, as its authorized official.

NPPES Registry Identity

NPI1578414850
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameRADICAL THERAPY PLLC
Location Address800 MONROE AVE NW STE 314Grand Rapids, MI 49503-1451
Mailing Address800 Monroe Ave Nw Ste 314Grand Rapids, MI 49503-1451
Organization SubpartNo
Authorized OfficialRachel DziabudaOwner · (616) 259-5148
Enumeration DateFebruary 4, 2026
Last NPPES UpdateApril 27, 20262 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1578414850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
800 MONROE AVE NW STE 314, Grand Rapids, MI 49503

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Radical Therapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Radical Therapy PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1588341150
1000 MONROE AVE NW
Grand Rapids, MI 49503
(616) 259-7207
✔ PECOS0.2 mi

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

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 Radical Therapy PLLC's NPI number?

The NPI number for Radical Therapy PLLC is 1578414850. It was assigned to this organization in the NPPES registry on February 4, 2026.

Where is Radical Therapy PLLC located?

Radical Therapy PLLC is located at 800 Monroe Ave NW Ste 314, Grand Rapids, MI 49503. The listed phone number is (616) 481-1479.

What is Radical Therapy PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Radical Therapy PLLC enrolled in Medicare?

Yes. Radical Therapy PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Radical Therapy PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Radical Therapy PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Radical Therapy PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Radical Therapy PLLC 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 Radical Therapy PLLC was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.