GRAND RAPIDS INTEGRATIVE THERAPY LLC
NPI 1790420990
Social Worker - Clinical in Grandville, MI

Active since May 02, 2022
4120 CHICAGO DR SW STE 4, GRANDVILLE, MI 49418(616) 889-6602 Get Directions Write a Review

NPPES record last updated: August 31, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 31, 2022, May 2, 2022 (2 updates tracked since 2022).

About Grand Rapids Integrative Therapy Llc NPPES

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

GRAND RAPIDS INTEGRATIVE THERAPY LLC (NPI 1790420990) is a healthcare organization registered as a clinical in Grandville, Michigan and active in the NPI registry since May 2022. The organization lists Desiree Andersen, Owner, as its authorized official.

NPPES Registry Identity

NPI1790420990
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameGRAND RAPIDS INTEGRATIVE THERAPY LLC
Location Address4120 CHICAGO DR SW STE 4Grandville, MI 49418-1281
Mailing Address4120 Chicago Dr Sw Ste 4Grandville, MI 49418-1281 · (616) 889-6602
Organization SubpartNo
Authorized OfficialDesiree AndersenOwner · (616) 889-6602
Enumeration DateMay 2, 2022
Last NPPES UpdateAugust 31, 20252 updates tracked since enumeration
NPPES CertifiedAugust 31, 2025
NPI 1790420990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
4120 CHICAGO DR SW STE 4, Grandville, MI 49418

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
4120 CHICAGO DR SW STE 4
GRANDVILLE, MI 49418

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 Grand Rapids Integrative Therapy LLC's NPI number?

The NPI number for Grand Rapids Integrative Therapy LLC is 1790420990. It was assigned to this organization in the NPPES registry on May 2, 2022.

Where is Grand Rapids Integrative Therapy LLC located?

Grand Rapids Integrative Therapy LLC is located at 4120 Chicago Dr SW Ste 4, Grandville, MI 49418. The listed phone number is (616) 889-6602.

What is Grand Rapids Integrative Therapy LLC's specialty?

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

What insurance does Grand Rapids Integrative Therapy LLC accept?

Health plans from Blue Care Network of Michigan list Grand Rapids Integrative Therapy LLC 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 Grand Rapids Integrative Therapy LLC was last updated on August 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.