Organization Active NPI

Jennifer Hall, LMSW, PLLC

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1063885325
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091825 Issued in MI
Legal business name
JENNIFER HALL, LMSW, PLLC
Practice address
1514 Wealthy St SE
Grand Rapids, MI 49506-2762
Phone
(616) 808-9193
NPI assigned
Nov 9, 2015
Last updated
Nov 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Jennifer Hall, LMSWNPI 1669794897
Title
Owner
Phone
(616) 808-9193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801091825 MI Primary

Addresses

Primary practice location

1514 Wealthy St SE
Grand Rapids, MI 49506-2762

Mailing address

306 Hampton Ave SE
Grand Rapids, MI 49506-1766
Phone (616) 808-9193

National Provider Directory

National Provider Directory

Locations

1514 Wealthy St SE
Grand Rapids, MI 49506
Phone (616) 202-2138

1514 Wealthy St SE
Ste 260
Grand Rapids, MI 49506
Phone (616) 451-3008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1063885325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 HAMPTON AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061766",
            "telephone_number": "616-808-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 WEALTHY ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062762",
            "telephone_number": "616-808-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER HALL, LMSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-808-9193",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.