Individual provider Active NPI

Jennifer L Spitler, LMSW

  • Clinical Social Worker
  • Dexter, MI
National Provider Identifier
1124902358
Registry record updated Aug 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801089047 Issued in MI
Practice address
6964 Wilson Dr
Dexter, MI 48130-9256
Phone
(734) 516-0998
NPI assigned
Aug 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801089047 MI Primary

Addresses

Primary practice location

6964 Wilson Dr
Dexter, MI 48130-9256

Mailing address

6964 Wilson Dr
Dexter, MI 48130-9256
Phone (734) 516-0998

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
I20260102001088 MI Practitioner - Clinical Social Worker 5193211829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2130 Wieneke Rd
Suite 6522
Saginaw, MI 48608-6522

6964 Wilson Dr
Dexter, MI 48130-9256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801089047MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Consulting & Wellness, LLC Clinical CurrentSince Dec 16, 2025 Accepting new patients

Organizations & group practices 1

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": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754697600000",
    "number": "1124902358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6964 WILSON DR",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309256",
            "telephone_number": "734-516-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6964 WILSON DR",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309256",
            "telephone_number": "734-516-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITLER",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MI

Sources for this page

Verify at the official NPI Registry.