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

Mr. Philip Marinus Koole, LLMSW

Individual provider Social Worker · NPI 1194416735

Mr. Philip Marinus Koole, LLMSW is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
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Practice location Address checks out

1165 Hall St SE Apt 2
Grand Rapids, MI 49507-1973
Phone: (616) 265-6265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6851116202 (MI)

Record details

NPI number1194416735
Entity typeIndividual (Type 1)
GenderMale
Credentials LLMSW
Sole proprietorYes
NPI enumeratedMay 16, 2023
Last updated in NPPESMay 16, 2023
Certification dateMay 15, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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