COLBY AUSTIN-JOHNSON WHITAKER
NPI 1790663359
Social Worker - Clinical in Grand Rapids, MI

Active since August 22, 2025
4829 E BELTLINE AVE NE STE 101, GRAND RAPIDS, MI 49525(616) 209-8215 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Colby Austin-johnson Whitaker NPPES

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

COLBY AUSTIN-JOHNSON WHITAKER (NPI 1790663359) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6851120660) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1790663359
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCOLBY AUSTIN-JOHNSON WHITAKER
Location Address4829 E BELTLINE AVE NE STE 101Grand Rapids, MI 49525-9349
Mailing Address2560 Rosewater Dr Ne Unit 220Grand Rapids, MI 49525-2981
Sole ProprietorYes
Enumeration DateAugust 22, 2025
Last NPPES UpdateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
NPI 1790663359 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 · 6851120660
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.

4829 E BELTLINE AVE NE STE 101, Grand Rapids, MI 49525

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Social Worker (Clinical)
4829 E BELTLINE AVE NE STE 101
GRAND RAPIDS, MI 49525
Social Worker (Clinical)
4829 E BELTLINE AVE NE STE 101
GRAND RAPIDS, MI 49525
Social Worker (Clinical)
4829 E BELTLINE AVE NE STE 101
GRAND RAPIDS, MI 49525
Social Worker
4829 E BELTLINE AVE NE STE 101
GRAND RAPIDS, MI 49525

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790663359, enumerated as an "individual" on August 22, 2025.

The provider is located at 4829 E BELTLINE AVE NE STE 101 GRAND RAPIDS, MI 49525 and the phone number is (616) 209-8215.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.