Healthcare Provider Details

I. General information

NPI: 1871245019
Provider Name (Legal Business Name): KATHERINE BROWER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATIE BROWER

II. Dates (important events)

Enumeration Date: 01/19/2022
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 BENJAMIN AVE SE
GRAND RAPIDS MI
49506-3224
US

IV. Provider business mailing address

1125 BENJAMIN AVE SE
GRAND RAPIDS MI
49506-3224
US

V. Phone/Fax

Practice location:
  • Phone: 708-305-5496
  • Fax:
Mailing address:
  • Phone: 708-305-5496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801117172
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851106040
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: