Individual provider Active NPI

Jessica Klemanski, LMSW

  • Clinical Social Worker
  • Clinton Township, MI
National Provider Identifier
1033613435
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094280 Issued in MI
Practice address
15930 19 Mile Rd Ste 150
Clinton Township, MI 48038-1155
Phone
(586) 873-5988
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801094280 MI Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

15930 19 Mile Rd Ste 150
Clinton Township, MI 48038-1155

Mailing address

15930 19 Mile Rd Ste 150
Clinton Township, MI 48038-1155
Phone (586) 873-5988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181119000126 MI Practitioner - Clinical Social Worker 3779837364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ellie Sem Clinic PLLCGroup PAC ID 2668828930, 5 clinicians

Practice addresses (Care Compare)

15930 19 Mile Rd
Suite 150
Clinton Township, MI 48038-1155
Phone (586) 281-5866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801094280MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ellie Sem Clinic, PLLC Clinical CurrentSince Nov 24, 2025 Accepting new patients
Macomb Oakland Regional Center Inc. PastSince Nov 24, 2025 Accepting new patients

Locations

15930 19 Mile Rd
Ste 150
Clinton Twp, MI 48038
Phone (586) 281-5866

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1033613435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15930 19 MILE RD STE 150",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381155",
            "telephone_number": "586-873-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15930 19 MILE RD STE 150",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381155",
            "telephone_number": "586-873-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMANSKI",
        "first_name": "JESSICA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094280",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.