Domonique Stevens, LMSW
Clinical Social Worker · Grand Rapids, MI
At a glance
790 Fuller Ave Ne, Grand Rapids, MI 49503-1918
NPPES record updated Dec 31, 2024. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
790 Fuller Ave NeGrand Rapids, MI 49503-1918
Additional reported practice locations
717 N Center Dr NwWalker, MI 495448215
Phone: 6162485201 805 Leonard St Ne
Grand Rapids, MI 495031138
Phone: 6164512021
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2022
- CMS specialties
- Clinical Social Worker
Practice groups
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Clinical Social Worker
- Taxonomy code
- 1041C0700X
- Enumeration date
- Feb 27, 2019
- Record updated
- Dec 31, 2024
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- LMSW
Reported taxonomies and licenses
104100000X
104100000X
License reported: 6802090535 MI
104100000X
License reported: 6851115039 MI
106S00000X
171M00000X
1041C0700X · Primary
License reported: 6801119569 MI
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
790 Fuller Ave NeGrand Rapids, MI 49503-1918
- Phone
- (616) 336-3909
- Fax
- (616) 336-8830
Mailing address
790 FULLER AVE NEGRAND RAPIDS, MI 495031918
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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