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MRS. ANTOINETTE ALEXANDRIA VARGAS
NPI 1750034559
Social Worker - Clinical in Grandville, MI

Active since February 01, 2022PECOS Enrolled
3584 FAIRLANES AVE SW STE 2, GRANDVILLE, MI 49418(616) 222-5300(616) 222-5309 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2023, Jan 27, 2023, May 23, 2022 and 1 more (4 updates tracked since 2022).

About Mrs. Antoinette Alexandria Vargas NPPES

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

MRS. ANTOINETTE ALEXANDRIA VARGAS (NPI 1750034559) is an individual clinical provider in Grandville, Michigan and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Rapids, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1750034559
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. ANTOINETTE ALEXANDRIA VARGAS
Location Address3584 FAIRLANES AVE SW STE 2Grandville, MI 49418-1583
Mailing Address3584 Fairlanes Ave Sw Ste 2Grandville, MI 49418-1583 · (616) 222-5300 · Fax (616) 222-5309
Phone(616) 222-5300
Fax(616) 222-5309
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 1, 2022
Last NPPES UpdateNovember 27, 20234 updates tracked since enumeration
NPPES CertifiedNovember 27, 2023
✔ NPI 1750034559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedSocial WorkerTaxonomy 104100000X · License 6851114979 (MI)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3584 FAIRLANES AVE SW STE 2, Grandville, MI 49418
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Secondary Practice Location 1

Location 1300 68th St SEGrand Rapids, MI 49548-6927 · Phone (616) 455-5000 · Fax (616) 455-5960

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Antoinette Alexandria Vargas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496236754
PECOS Enrollment IDI20260225000377
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49418 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

JULIE ANNE BROCKMAN APRN-CNP
Family Medicine (Addiction Medicine)
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 797-2124
MS. DAESHA LYNNE CANALES LPN
Licensed Practical Nurse
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
HEATHER NICHOLE LITTLE B.S.
Counselor (Addiction (Substance Use Disorder))
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
MR. TOMMIE EARL JOHNSON LLMSW
Prevention Professional
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
TORI TRUAX BS
Case Manager/Care Coordinator
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
MS. JENNIFER BALANGUE BARNETT
Counselor (Addiction (Substance Use Disorder))
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
REYNA BECKER RABAGO MS
Counselor (Addiction (Substance Use Disorder))
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
ANGELA LONG
Counselor
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300

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 Antoinette Vargas's NPI number?

The NPI number for Antoinette Vargas is 1750034559. It was assigned to this individual provider in the NPPES registry on February 1, 2022.

Where is Antoinette Vargas located?

Antoinette Vargas practices at 3584 Fairlanes Ave SW Ste 2, Grandville, MI 49418. The listed phone number is (616) 222-5300.

What is Antoinette Vargas's specialty?

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

Is Antoinette Vargas enrolled in Medicare?

Yes. Antoinette Vargas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Antoinette Vargas was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.