NICHOLAS DEBOER LMSW
NPI 1780799668
Social Worker in Grand Rapids, MI

Q: What is Nicholas Deboer's NPI number?

The NPI number for Nicholas Deboer is 1780799668. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Q: What is Nicholas Deboer's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Deboer was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 20, 2006PECOS Enrolled

300 68TH ST SE, GRAND RAPIDS, MI 49548(616) 455-5000 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nicholas Deboer Lmsw NPPES

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

NICHOLAS DEBOER LMSW (NPI 1780799668) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6801046533) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780799668

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameNICHOLAS DEBOERCredential: LMSW

Location Address300 68TH ST SEGrand Rapids, MI 49548-6927

Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000

Phone(616) 455-5000

Sole ProprietorNo

Enumeration DateAugust 20, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1780799668 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 · 6801046533

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.

300 68TH ST SE, Grand Rapids, MI 49548

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Other Identifiers 2

Medicare ID-Type UnspecifiedD16222089MI · Medicare

Medicare UPINP36491MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

JILLIAN LEIGH MURRAY L.C.S.W

Social Worker (Clinical)