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

Individual provider Clinical Social Worker · NPI 1033898929

MS. Kiarra Nicole Lane, LLMSW is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2023, 3 years ago. Practices with Advantage Health/Saint Mary's Medical Group, a 494-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

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

790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone: (231) 903-5799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 220 Cherry St Se, Grand Rapids, MI 49503-4608 — (616) 685-5050

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801121525 (MI)

Record details

NPI number1033898929
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorYes
NPI enumeratedJuly 17, 2023
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

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)
Group practice Advantage Health/Saint Mary'S Medical Group — 494 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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