NPI 1174601512 · live from the CMS NPI Registry
Arbor Circle Corporation
Social Worker, Clinical in Grand Rapids, MI. National Provider Identifier 1174601512, active.
NPI record
| NPI | 1174601512 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1115 Ball Ave Ne, Grand Rapids, MI 49505 |
| Practice phone | 616-456-7775 |
| Enumerated | November 2, 2006 |
| Last updated | January 4, 2023 |
| Authorized official | Cathy Cardosa, Human Resources Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Psychologist, Addiction (Substance Use Disorder) | 103TA0400X | — |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Internal Medicine, Addiction Medicine | 207RA0401X | 4301034105 (MI) |
| Physician Assistant | 363A00000X | 5601003749 (MI) |
| Pediatrics, Developmental - Behavioral Pediatrics | 2080P0006X | 4301069203 (MI) |
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.