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

Autumn Putnam

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1568084226

Autumn Putnam is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2020, 6 years ago. Practices with County of Ottawa, an 18-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
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Practice location Address checks out

1215 Fulton St E
Grand Rapids, MI 49503-3849
Phone: (616) 742-0351
Fax: (616) 742-0370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1568084226
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 15, 2020
Last updated in NPPESMay 15, 2020
Certification dateMay 15, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice County Of Ottawa — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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