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KENDRA BEASLEY LMSW
NPI 1780163345
Social Worker - Clinical in Grand Rapids, MI

Active since August 14, 2018PECOS Enrolled
1939 S DIVISION AVE., GRAND RAPIDS, MI 49507(616) 247-3815 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2026, Feb 12, 2020, Aug 14, 2018 (3 updates tracked since 2018).

About Kendra Beasley Lmsw NPPES

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

KENDRA BEASLEY LMSW (NPI 1780163345) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801105996) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Rapids, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1780163345
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENDRA BEASLEYCredential: LMSW
Location Address1939 S DIVISION AVE.Grand Rapids, MI 49507
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000
Phone(616) 247-3815
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 14, 2018
Last NPPES UpdateMarch 23, 20263 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1780163345 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 · 6801105996
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.
1939 S DIVISION AVE., Grand Rapids, MI 49507
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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra Beasley Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678058658
PECOS Enrollment IDI20260327001563
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 49507 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 20

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

TERRI A. HUMMEL
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
ANNA LAUKA
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
ASHLEY HOLCOM
Community Health Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
BROOKLYN LACKNER
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
AMANDA PETROVICH
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
GABRIEL SHYNE
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
MS. JANICE PLEASANT-PROCTOR
Social Worker (Clinical)
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
TRACI REYNOLDS
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815

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 Kendra Beasley's NPI number?

The NPI number for Kendra Beasley is 1780163345. It was assigned to this individual provider in the NPPES registry on August 14, 2018.

Where is Kendra Beasley located?

Kendra Beasley practices at 1939 S Division Ave., Grand Rapids, MI 49507. The listed phone number is (616) 247-3815.

What is Kendra Beasley's specialty?

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

Is Kendra Beasley enrolled in Medicare?

Yes. Kendra Beasley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kendra Beasley was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.