Organization Active NPI

Jennifer Flanders, LMSW LLC

  • Social Worker
  • Grand Rapids, MI
National Provider Identifier
1174107742
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
JENNIFER FLANDERS, LMSW LLC
Practice address
2040 Raybrook St SE Ste 301-B
Grand Rapids, MI 49546-7718
Phone
(616) 217-9291
NPI assigned
May 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Jennifer Flanders, LMSWNPI 1013304583
Title
Owner
Phone
(616) 217-9291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

2040 Raybrook St SE Ste 301-B
Grand Rapids, MI 49546-7718

Mailing address

1518 Carlton Ave NE
Grand Rapids, MI 49505-5410
Phone (616) 217-9291

Other practice location 1

1518 Carlton Ave NE
Grand Rapids, MI 49505-5410
Phone (616) 217-9291

National Provider Directory

National Provider Directory

Locations

2040 Raybrook St SE
Ste 301B
Grand Rapids, MI 49546
Phone (616) 217-9291

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1174107742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 CARLTON AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055410",
            "telephone_number": "616-217-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 RAYBROOK ST SE STE 301-B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467718",
            "telephone_number": "616-217-9291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1518 Carlton Ave NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495055410",
            "country_code": "US",
            "telephone_number": "616-217-9291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JENNIFER FLANDERS, LMSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "FLANDERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-217-9291",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "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 Sep 29, 2022; 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.