DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: THOMAS WORM LMSW

MEDICARE: THOMAS WORM LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker6801118803MI
3104100000XSocial Worker6851115015MI

General Provider Information

NPI Number : 1174061451
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS WORM LMSW
Provider Business Mailing Address
First Line : 300 68TH ST SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49548-6927
Country : US
Telephone Number : 616-455-5000
Fax Number :
Provider Business Practice Location Address
First Line : 300 68TH ST SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49548-6927
Country : US
Telephone Number : 616-455-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2017
Last Update Date : 01/15/2026

Similar Medicare Providers

1619544491 — ELISE ANDERSON MD
Practice Location Address:
300 68TH ST SE
GRAND RAPIDS, MI
49548-6927
Practice Phone: 616-559-5870
Practice Fax:
1932058484 — BETHANY KUIK LMSW
Practice Location Address:
300 68TH ST SE
GRAND RAPIDS, MI
49548-6927
Practice Phone: 616-455-5000
Practice Fax:
1912415985 — ERIN ELIZABETH WARD PA-C
Practice Location Address:
300 68TH ST SE
GRAND RAPIDS, MI
49548-6927
Practice Phone: 616-455-5000
Practice Fax:
1891344545 — NOELLE PARTEE BS, MSOT, OTRL
Practice Location Address:
300 68TH ST SE
GRAND RAPIDS, MI
49548-6927
Practice Phone: 616-455-5000
Practice Fax:
1497563548 — NICOLE SUSANN MILES NP
Practice Location Address:
300 68TH ST SE
GRAND RAPIDS, MI
49548-6927
Practice Phone: 616-455-5000
Practice Fax:
1255985008 — REALITE LANICE PEEBLES LBA, BCBA
Practice Location Address:
300 68TH ST SE
GRAND RAPIDS, MI
49548-6927
Practice Phone: 616-455-5000
Practice Fax:

Directions to “ THOMAS WORM LMSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.