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

Kandis Koreen Deshaw, LMSW

Individual provider Social Worker · NPI 1740550151

Kandis Koreen Deshaw, LMSW is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2011, 15 years ago. Practices with Michigan Behavioral Consultants PC, a 3-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2012
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

710 Kenmoor Ave SE Ste 200
Grand Rapids, MI 49546-2379
Phone: (616) 588-7246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Cherry St Se, Grand Rapids, MI 49503-4526 — (616) 965-8200

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6801093338 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801093338 (MI)

Record details

NPI number1740550151
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorYes
NPI enumeratedJanuary 3, 2012
Last updated in NPPESMarch 6, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Michigan Behavioral Consultants Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Grand Rapids