KANDIS KOREEN DESHAW LMSW
NPI 1740550151
Social Worker in Grand Rapids, MI
About Kandis Koreen Deshaw Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KANDIS KOREEN DESHAW LMSW (NPI 1740550151) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6801093338) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Rapids, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kandis Koreen Deshaw Lmsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Kandis Deshaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49546
- Reassigned Medicare billing, Michigan enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49546
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 Kandis Deshaw's NPI number?
The NPI number for Kandis Deshaw is 1740550151. It was assigned to this individual provider in the NPPES registry on January 3, 2012.
Where is Kandis Deshaw located?
Kandis Deshaw practices at 710 Kenmoor Ave SE Ste 200, Grand Rapids, MI 49546. The listed phone number is (616) 588-7246.
What is Kandis Deshaw's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Kandis Deshaw enrolled in Medicare?
Yes. Kandis Deshaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kandis Deshaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kandis Deshaw reassigns Medicare benefits to Michigan Behavioral Consultants PC (Grand Rapids, MI). The 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 Kandis Deshaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kandis Deshaw accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Kandis Deshaw 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 Kandis Deshaw was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kandis Koreen Deshaw, LMSW · NPI 1740550151
Social Worker provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since January 3, 2012.
## Identity
- **NPI:** 1740550151 (Entity type: Individual)
- **Enumerated:** January 3, 2012
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 6801093338 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 710 KENMOOR AVE SE STE 200, Grand Rapids, MI 49546-2379
- **Phone:** (616) 588-7246
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Michigan Behavioral Consultants PC (NPI 1336153220, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** March 6, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1740550151) · Data from the CMS NPPES public registry.