DOMONIQUE STEVENS LMSW
NPI 1972060895
Social Worker - Clinical in Grand Rapids, MI

Active since February 27, 2019PECOS EnrolledAccepts Medicare Assignment
790 FULLER AVE NE, GRAND RAPIDS, MI 49503(616) 336-3909(616) 336-8830 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2024, Feb 24, 2023, Nov 29, 2022 and 3 more (6 updates tracked since 2019).

About Domonique Stevens Lmsw NPPES

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

DOMONIQUE STEVENS LMSW (NPI 1972060895) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801119569) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1972060895
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDOMONIQUE STEVENSCredential: LMSW
Location Address790 FULLER AVE NEGrand Rapids, MI 49503-1918
Mailing Address790 Fuller Ave NeGrand Rapids, MI 49503-1918 · (616) 336-3909 · Fax (616) 336-8830
Fax(616) 336-8830
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 27, 2019
Last NPPES UpdateDecember 31, 20246 updates tracked since enumeration
NPPES CertifiedDecember 31, 2024
NPI 1972060895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801119569
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 ListedSocial WorkerTaxonomy 104100000X · License 6802090535 (MI), 6851115039 (MI)
Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
790 FULLER AVE NE, Grand Rapids, MI 49503

Secondary Practice Locations 2

Location 1717 N Center Dr NWWalker, MI 49544-8215 · Phone (616) 248-5201
Location 2805 Leonard St NEGrand Rapids, MI 49503-1138 · Phone (616) 451-2021

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Domonique Stevens Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254860349
PECOS Enrollment IDI20250117001050
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 49503 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.

Social Worker (Clinical)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Behavior Analyst
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Counselor (Professional)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Social Worker
790 FULLER AVE NE
GRAND RAPIDS, MI 49503

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 Domonique Stevens's NPI number?

The NPI number for Domonique Stevens is 1972060895. It was assigned to this individual provider in the NPPES registry on February 27, 2019.

Where is Domonique Stevens located?

Domonique Stevens practices at 790 Fuller Ave NE, Grand Rapids, MI 49503. The listed phone number is (616) 336-3909.

What is Domonique Stevens's specialty?

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

Is Domonique Stevens enrolled in Medicare?

Yes. Domonique Stevens is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Domonique Stevens accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Domonique Stevens 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 Domonique Stevens was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.