Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mary Alice Walker Blanker, LMSW, CAADC, ADS

Individual provider Clinical Social Worker · NPI 1114335817

Mrs. Mary Alice Walker Blanker, LMSW, CAADC, ADS is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2011, 15 years ago. Practices with Stange Clinic, PC, a 4-clinician group. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2014
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

1115 Ball Ave NE Bldg C
Grand Rapids, MI 49505-5904
Phone: (616) 459-7215
Fax: (616) 451-0020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801093780 (MI)

Record details

NPI number1114335817
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW , CAADC , ADS
Sole proprietorNo
NPI enumeratedJuly 25, 2014
Last updated in NPPESFebruary 17, 2020
Certification dateFebruary 17, 2020

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 Stange Clinic, Pc — 4 clinicians
Accepts Medicare assignment Not indicated

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