OrganizationActive
D a Blodgett-St Johns
NPI 1801929435 · Clinical Social Worker · Grand Rapids, MI
Provider details
- NPI number
- 1801929435
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Tammy Smith, Director of Finance(616) 451-2021
- License
- CB410201088 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
2172 Dean Lake Ave Ne
Grand Rapids, MI 49505-4444
Phone: (616) 451-2021
Fax: (616) 774-3842
Street-level locationGet directions
Mailing address
2172 Dean Lake Ave Ne
Grand Rapids, MI 49505-4444
Other names (DBA / former)
- Doing business as
- D.a. Blodgett for Children
- Doing business as
- D.a. Blodgett for Children
Registry dates
- Enumerated
- 2007-03-13
- Last updated
- 2023-04-26
- Certified
- 2023-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.