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

Ellen Mbungu

Individual provider Clinical Social Worker · NPI 1265076798

Ellen Mbungu is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2019, 7 years ago. Practices with Cherry Street Services Inc, a 58-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

550 Cherry St SE
Grand Rapids, MI 49503-4748
Phone: (616) 235-7272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 505 E Alcott St, Kalamazoo, MI 49001-6144 — (269) 349-2641
  • 117 W Paterson St, Kalamazoo, MI 49007-2557 — (269) 349-2641
  • 1308 N Burdick St, Kalamazoo, MI 49007-2503 — (269) 349-2641

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801114607 (MI)
Social Worker Taxonomy 104100000X · Licence 6801105656 (MI)

Record details

NPI number1265076798
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 28, 2019
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cherry Street Services Inc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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