MEDICARE: CHRISTOPHER SANJURJO MONTALVO LLMSW

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
1	1041C0700X	Clinical Social Worker	6801108355	MI
2	104100000X	Social Worker	6801108355	MI

General Provider Information

NPI Number	:	1538708276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER SANJURJO MONTALVO LLMSW

Provider Business Mailing Address
First Line	:	825 LEONARD ST NE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49503-1177
Country	:	US
Telephone Number	:	616-301-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	440 BALTIMORE DR NE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49503-3934
Country	:	US
Telephone Number	:	616-301-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2019
Last Update Date	:	09/13/2022

Similar Medicare Providers

1164712055 — TATJANA MARIC MD
Practice Location Address:

420 BALTIMORE DR NE
GRAND RAPIDS, MI
49503-3934

Practice Phone: 323-633-3503
Practice Fax:

1720538978 — MRS. ELIZABETH RAMOS
Practice Location Address:

456 BALTIMORE DR NE
GRAND RAPIDS, MI
49503-3934

Practice Phone: 616-301-8000
Practice Fax:

1013482918 — MRS. LESLIE YVONNE REDMON REGISTERED NURSE
Practice Location Address:

470 BALTIMORE DR NE
GRAND RAPIDS, MI
49503-3934

Practice Phone: 616-454-4777
Practice Fax:

1417587072 — MR. JARED JENNINGS POPPEN RN
Practice Location Address:

440 BALTIMORE DR NE
GRAND RAPIDS, MI
49503-3934

Practice Phone: 616-301-8000
Practice Fax:

1639762172 — SHAWNETTE LYNN WYMER LPN
Practice Location Address:

470 BALTIMORE DR NE
GRAND RAPIDS, MI
49503-3934

Practice Phone: 616-749-0042
Practice Fax:

1023680964 — GREG ALLEN BOOTH VANDER WEL LPN
Practice Location Address:

470 BALTIMORE DR NE
GRAND RAPIDS, MI
49503-3934

Practice Phone: 616-726-1909
Practice Fax:

Directions to “ CHRISTOPHER SANJURJO MONTALVO LLMSW” 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.