D A Blodgett-St Johns
D A Blodgett-St Johns is a healthcare organization registered as Clinical Social Worker in Grand Rapids, MI, holding Type 2 (organization) NPI 1801929435 since 2007. The authorized official on file is Tammy Smith, Director of Finance.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1801929435 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | D A Blodgett-St Johns |
| Other name | <Unavail> |
| Practice address | 2172 DEAN LAKE AVE NE, Grand Rapids, MI, 49505 |
| Phone | 6164512021 |
| Fax | 6167743842 |
| Enumeration date | 2007-03-13 |
| Last updated in NPPES | 2023-04-26 |
Authorized official
| Name | Tammy Smith |
|---|---|
| Title | Director of Finance |
| Phone | 6164512021 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1041C0700X | Clinical Social Worker | Primary | CB410201088 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3243343 | Medicaid | MI | — |
| 4486650 | Medicaid | MI | — |
| 4537919 | Medicaid | MI | — |
Copy-ready billing details
Provider: D A Blodgett-St Johns NPI: 1801929435 Taxonomy: 1041C0700X (Clinical Social Worker) Address: 2172 DEAN LAKE AVE NE, Grand Rapids, MI, 49505
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1134510456 | Andrea Denes | Individual | Social Worker | Grand Rapids, MI |
| 1902258718 | Mercedes Noble | Individual | Clinical Social Worker | Grand Rapids, MI |
| 1487107165 | Amanda Sias | Individual | Case Manager/Care Coordinator | Grand Rapids, MI |
| 1629585039 | Teresa Ouendag | Individual | Behavior Technician | Grand Rapids, MI |
| 1629577481 | Heather Fricke | Individual | Clinical Social Worker | Grand Rapids, MI |
| 1093288060 | Kelsey Maas | Individual | Social Worker | Grand Rapids, MI |
| 1780225565 | Alejandra Vences-Jurado | Individual | Clinical Social Worker | Grand Rapids, MI |
| 1780201814 | Sarah Gibson | Individual | Clinical Social Worker | Grand Rapids, MI |
Verify this record
Cross-check NPI 1801929435 against the authoritative CMS record: view D A Blodgett-St Johns on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for D A Blodgett-St Johns?
What is the NPI number for D A Blodgett-St Johns?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-04-26.