Healthcare Provider Details

I. General information

NPI: 1184117632
Provider Name (Legal Business Name): SARAH D. HEWSON LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2018
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2118 3 MILE RD NW
GRAND RAPIDS MI
49544-1425
US

IV. Provider business mailing address

2118 3 MILE RD NW
GRAND RAPIDS MI
49544-1425
US

V. Phone/Fax

Practice location:
  • Phone: 616-222-3720
  • Fax: 616-222-3724
Mailing address:
  • Phone: 616-222-3720
  • Fax: 616-222-3724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34009977A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801107821
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: