Domonique Stevens, LMSW
NPI 1972060895ActiveIndividual· Social Worker, Clinical· Grand Rapids, MI
Social Worker, Clinical (LMSW) with Kent County Cmh Authority and 1 other group, practicing in Grand Rapids, Michigan. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1972060895 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMSW |
| Sole proprietor | No |
| NPI issued | Feb 27, 2019 |
| Last updated in NPPES | Dec 31, 2024 |
| Certified by provider | Dec 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 6801119569 | MI |
| Social Worker | 104100000X | — | — |
| Social Worker | 104100000X | 6802090535 | MI |
| Social Worker | 104100000X | 6851115039 | MI |
| Behavior Technician | 106S00000X | — | — |
| Case Manager/Care Coordinator | 171M00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MI) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical groups
- Kent County Cmh AuthorityGrand Rapids, MI · 70 clinicians
- Dbt Institute of MiMason, MI · 10 clinicians
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All 1,866 clinical social workers in Grand Rapids · All clinical social workers in Michigan