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

Colby Austin-Johnson Whitaker

Individual provider Clinical Social Worker · NPI 1790663359

Colby Austin-Johnson Whitaker is a Clinical Social Worker in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

4829 E Beltline Ave NE Ste 101
Grand Rapids, MI 49525-9349
Phone: (616) 209-8215
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6851120660 (MI)

Record details

NPI number1790663359
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 22, 2025
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025

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