MS. THERESA LYNN BUNDY-PHAM
NPI 1679801179
Social Worker in Grand Rapids, MI

Active since November 23, 2009PECOS EnrolledAccepts Medicare Assignment
1000 PARCHMENT DR SE, GRAND RAPIDS, MI 49546(616) 957-9112(616) 957-2409 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Theresa Lynn Bundy-pham NPPES

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

MS. THERESA LYNN BUNDY-PHAM (NPI 1679801179) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6801068956) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1679801179
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMS. THERESA LYNN BUNDY-PHAM
Location Address1000 PARCHMENT DR SEGrand Rapids, MI 49546
Mailing Address1000 Parchment Dr SeGrand Rapids, MI 49546 · (616) 957-9112 · Fax (616) 957-2409
Fax(616) 957-2409
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateNovember 23, 2009
Last NPPES UpdateJuly 24, 2024
NPI 1679801179 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 · 6801068956
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.

1000 PARCHMENT DR SE, Grand Rapids, MI 49546

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Theresa Lynn Bundy-pham is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456481928
PECOS Enrollment IDI20100609000582
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.

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.

Clinical Neuropsychologist
1000 PARCHMENT DR SE
GRAND RAPIDS, MI 49546
Psychologist (Clinical)
1000 PARCHMENT DR SE
GRAND RAPIDS, MI 49546
Psychologist (Clinical)
1000 PARCHMENT DR SE
GRAND RAPIDS, MI 49546
Psychologist (Clinical)
1000 PARCHMENT DR SE
GRAND RAPIDS, MI 49546
Psychologist (Clinical)
1000 PARCHMENT DR SE
GRAND RAPIDS, MI 49546
Counselor (Mental Health)
1000 PARCHMENT DR SE
GRAND RAPIDS, MI 49546
Marriage & Family Therapist
1000 PARCHMENT DR SE
GRAND RAPIDS, MI 49546
Psychologist (Clinical)
1000 PARCHMENT DR SE
GRAND RAPIDS, MI 49546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679801179, enumerated as an "individual" on November 23, 2009.

The provider is located at 1000 PARCHMENT DR SE GRAND RAPIDS, MI 49546 and the phone number is (616) 957-9112.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.