Individual provider Active NPI

Jennifer Dawn Armstrong, LLMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1194508945
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851116443 Issued in MI
Practice address
1331 Martin Luther King Jr St SE
Grand Rapids, MI 49506-2634
Phone
(616) 212-3912
NPI assigned
Aug 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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 6851116443 MI Primary

Addresses

Primary practice location

1331 Martin Luther King Jr St SE
Grand Rapids, MI 49506-2634

Mailing address

1331 Martin Luther King Jr St SE
Grand Rapids, MI 49506-2634

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
I20260224003438 MI Practitioner - Clinical Social Worker 6002397429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

217 E 24TH St
Suite 201
Holland, MI 49423-4973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851116443MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Leadlight LLC CurrentSince Jan 18, 2026 Accepting new patients

Locations

217 E 24th St
Ste 201
Holland, MI 49423
Phone (616) 209-9204

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": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1194508945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 MARTIN LUTHER KING JR ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 MARTIN LUTHER KING JR ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062634",
            "telephone_number": "616-212-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMSTRONG",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851116443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.