IndividualActive
Andrew Maynard, LLMSW
NPI 1669243747 · Clinical Social Worker · Grand Rapids, MI
Provider details
- NPI number
- 1669243747
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LLMSW
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
790 Fuller Ave Ne
Grand Rapids, MI 49503-1918
Phone: (616) 336-3909
Fax: (616) 336-8830
Street-level locationGet directions
Mailing address
790 Fuller Ave Ne
Grand Rapids, MI 49503-1918
Additional practice locations (1)
- 376 E Apple AveMuskegon, MI 49442-3466Phone: (231) 724-1111Fax: (231) 724-4188
Registry dates
- Enumerated
- 2024-01-09
- Last updated
- 2025-05-15
- Certified
- 2025-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.