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

Cherry Street Services Inc

Organization Clinical Social Worker · NPI 1316340094

Cherry Street Services Inc is a Clinical Social Worker in Grand Rapids, Michigan. Registered with an NPI since 2014.

In the registry since
2014
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

421 Fountain St NE
Grand Rapids, MI 49503-3334
Phone: (616) 965-8200
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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
Clinical Social Worker Taxonomy 1041C0700X
Family Medicine Physician Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X
Dental Clinic/Center Taxonomy 261QD0000X

Record details

NPI number1316340094
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCherry Street Services, Inc
Authorized official Tasha Blackmon — Ceo · (616) 965-8200
NPI enumeratedOctober 8, 2014
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024
Mailing address100 Cherry St Se, Grand Rapids, MI 49503-4526

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