Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cherry Street Services, Inc

Organization Social Worker · NPI 1124187471

Cherry Street Services, Inc is a Social Worker in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2055 Rosewood Ave SE
Grand Rapids, MI 49506-5248
Phone: (616) 776-5110
Fax: (616) 776-5111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Social Worker Taxonomy 104100000X (MI)
Dentist Taxonomy 122300000X
Family Medicine Physician Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1124187471
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tasha Blackmon — Ceo · (616) 965-8215
Other names Ottawa Hills High School Health Center; Ottawa Hills High School Health Center
NPI enumeratedDecember 6, 2006
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023
Mailing address100 Cherry St Se, Grand Rapids, MI 49503-4526

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