MELISSA R BOUMA
NPI 1871164772
Social Worker - Clinical in Grandville, MI

Active since July 02, 2021
3290 IVANREST AVE SW, GRANDVILLE, MI 49418(616) 250-1576 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Melissa R Bouma NPPES

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

MELISSA R BOUMA (NPI 1871164772) is an individual clinical provider in Grandville, Michigan, licensed in Michigan (6801109004) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1871164772
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELISSA R BOUMA
Location Address3290 IVANREST AVE SWGrandville, MI 49418-2018
Mailing Address3290 Ivanrest Ave SwGrandville, MI 49418-2018 · (616) 250-1576
Sole ProprietorYes
Enumeration DateJuly 2, 2021
NPPES CertifiedJuly 2, 2021
NPI 1871164772 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 · 6801109004
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.
3290 IVANREST AVE SW, Grandville, MI 49418

Other Identifiers 1

Other6801109004MI · License

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 Melissa Bouma's NPI number?

The NPI number for Melissa Bouma is 1871164772. It was assigned to this individual provider in the NPPES registry on July 2, 2021.

Where is Melissa Bouma located?

Melissa Bouma practices at 3290 Ivanrest Ave SW, Grandville, MI 49418. The listed phone number is (616) 250-1576.

What is Melissa Bouma's specialty?

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

When was this NPI record last updated?

The NPPES record for Melissa Bouma was last updated on July 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.