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MR. MICHAEL D SOUKUP LMSW
NPI 1629112933
Social Worker - Clinical in Grand Rapids, MI

Active since February 19, 2007
40 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 356-6285(616) 732-6392 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Michael D Soukup Lmsw NPPES

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

MR. MICHAEL D SOUKUP LMSW (NPI 1629112933) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801019792) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1629112933
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MICHAEL D SOUKUPCredential: LMSW
Location Address40 JEFFERSON AVE SEGrand Rapids, MI 49503-4304
Mailing Address1681 Wolverine StHolland, MI 49423-6741 · (616) 335-2820 · Fax (616) 732-6392
Phone(616) 356-6285
Fax(616) 732-6392
Sole ProprietorNo
Enumeration DateFebruary 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629112933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801019792
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.
40 JEFFERSON AVE SE, Grand Rapids, MI 49503
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Other Identifiers 1

Other7509106890MI · Blue Cross Blue Shield

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.

MRS. MARIAN EVELYN LILLY LPC
Counselor (Mental Health)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 356-6247
RUSSELL WALTON BATES JR. LLC
Counselor
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 456-1443
MS. COURTNEY LYN SMITH
Counselor (Professional)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 456-1443
MS. REBECCA SUE BUSMAN TLLP
Psychologist (Counseling)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 855-5931
MISS SARAH JEAN RIEMERSMA LMSW
Social Worker (Clinical)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 732-6391
JENNIFER ROSE GARD LMSW
Social Worker (Clinical)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 456-1443
TAMARA T JACKSON
Counselor (Addiction (Substance Use Disorder))
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 456-1443
ANDREW SCHMIDL LLMSW
Social Worker (Clinical)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 456-1443

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 Michael Soukup's NPI number?

The NPI number for Michael Soukup is 1629112933. It was assigned to this individual provider in the NPPES registry on February 19, 2007.

Where is Michael Soukup located?

Michael Soukup practices at 40 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 356-6285.

What is Michael Soukup's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Soukup was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.