KANDIS KOREEN DESHAW LMSW
NPI 1740550151
Social Worker in Grand Rapids, MI

Active since January 03, 2012PECOS EnrolledAccepts Medicare Assignment
710 KENMOOR AVE SE STE 200, GRAND RAPIDS, MI 49546(616) 588-7246 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1740550151
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKANDIS KOREEN DESHAWCredential: LMSW
Location Address710 KENMOOR AVE SE STE 200Grand Rapids, MI 49546-2379
Mailing Address205 Alpine StWayland, MI 49348-1232 · (616) 885-7155
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 3, 2012
Last NPPES UpdateMarch 6, 2019
NPI 1740550151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in MI · 6801093338
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 ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6801093338 (MI)
710 KENMOOR AVE SE STE 200, Grand Rapids, MI 49546

Secondary Practice Location 1

Location 1100 Cherry St SEGrand Rapids, MI 49503-4526 · Phone (616) 965-8200 ext. 7154

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

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.

PECOS PAC ID9739318536
PECOS Enrollment IDI20140127000566
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
710 KENMOOR AVE SE STE 200
GRAND RAPIDS, MI 49546
Nurse Practitioner (Family)
710 KENMOOR AVE SE STE 200
GRAND RAPIDS, MI 49546
Physician Assistant
710 KENMOOR AVE SE STE 200
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.

What insurance does Kandis Deshaw accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and Providence Health Plan 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 with the weekly NPPES data releases published by CMS.