CHERRY STREET SERVICES, INC. (NPI# 1215414800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215414800 |
| Entity Type | Organization |
| Organization Name | CHERRY STREET SERVICES, INC. |
| Other Organization Name | LAKESIDE CLUBHOUSE |
| Practice Address |
490 Century Ln Holland MI 49423 |
| Mailing Address |
100 Cherry St Se Grand Rapids MI 49503-4526 |
| Practice Telephone | 6169658380 |
| Practice Fax Number | 6169658381 |
| Mailing Telephone | 6169658200 |
| Mailing Fax Number | 6169405366 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-30 |
| Authorized Official Name | LINDA M CONSTANTINO (CFO) |
| Authorized Official Telephone | 6167762128 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHERRY STREET SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Lakeside Clubhouse | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841449105 | Cherry Street Services, Inc. | Dentist | 101 Sheldon Blvd Se Ste 1, Grand Rapids, MI 49503-4950 | 2008-09-11 |
| 1710047303 | Cherry Street Services, Inc. | Social Worker | 1720 Plainfield Nw, Grand Rapids, MI 49505-4705 | 2006-12-12 |
| 1982764643 | Cherry Street Services, Inc. | Social Worker | 1800 Tremont Blvd Nw, Grand Rapids, MI 49504-4868 | 2006-12-11 |
| 1124187471 | Cherry Street Services, Inc. | Dentist | 2055 Rosewood Ave Se, Grand Rapids, MI 49506-5248 | 2006-12-06 |
| 1063586816 | Cherry Street Services, Inc. | Social Worker | 1215 Fulton St E, Grand Rapids, MI 49503-3849 | 2006-11-20 |
| 1770656605 | Cherry Street Services, Inc. | Pediatrics | 2125 Buchanan Sw, Grand Rapids, MI 49507 | 2006-11-16 |
| 1891867495 | Cherry Street Services, Inc. | Clinical Neuropsychologist | 669 Stocking Ave Nw, Grand Rapids, MI 49504-5176 | 2006-11-15 |
| 1336399047 | Cherry Street Services, Inc. | Dentist | 101 Sheldon Blvd Se, Grand Rapids, MI 49503-4262 | 2008-09-30 |
| 1689731507 | Cherry Street Services, Inc. | Registered Nurse | 550 Cherry St Se, Grand Rapids, MI 49503-4748 | 2007-01-02 |
| 1669530986 | Cherry Street Services, Inc. | Counselor | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2006-12-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Cherry Street Services, Inc. | 1029 E 8th Ave, 1204, Denver, CO 80218 |
| Street Address |
490 CENTURY LN |
| City | HOLLAND |
| State | MI |
| Zip Code | 49423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043673668 | Holland Family Counseling LLC | Clinic/Center | 490 Century Ln, Holland, MI 49423-2220 | 2016-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
| 1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
| 1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
| 1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
| Find all providers in zip 49423 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573221 | Lifeworthy | Social Worker | 7318 International Dr Ste B, Holland, OH 43528-9560 | 2020-06-18 |
| 1366008112 | Sara A. Van Tongeren, Lmsw LLC | Social Worker | 222 S River Ave Ste 207, Holland, MI 49423-3144 | 2019-05-17 |
| 1619449220 | Kristi Lynn Bray | Social Worker | 631 W 30th St, Holland, MI 49423-7217 | 2018-12-20 |
| 1326538133 | Kelsey Devries | Social Worker | 12930 James St Ste 210, Holland, MI 49424-8324 | 2018-05-16 |
| 1255831558 | Kristen Leighanne Shepherd | Social Worker | 10 W 30th St, Holland, MI 49423-5021 | 2018-02-14 |
| 1871013847 | Jonathan Leonard Stevens | Social Worker | 426 Century Ln Ste 100, Holland, MI 49423-2200 | 2017-06-21 |
| 1578092813 | Alexa Sorensen | Social Worker | 577 Michigan Ave Ste 103, Holland, MI 49423-4911 | 2017-06-09 |
| 1306373840 | Kristen Faber | Social Worker | 12930 James St Ste 140, Holland, MI 49424-8324 | 2017-05-15 |
| 1871044214 | Abundance of Hope | Social Worker | 186 S River Ave Ste 5, Holland, MI 49423-2848 | 2016-10-20 |
| 1134585342 | Michaela Cortese | Social Worker | 304 Sandy Ct, Holland, MI 49424-5307 | 2016-01-05 |
| Find all providers in HOLLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.