Individual provider Active NPI

Jeannine M. Rehberg, LMSW

  • Clinical Social Worker
  • Jackson, MI
National Provider Identifier
1194709428
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801086957 Issued in MI
Practice address
180 W. Michigan Ave.
Suite 802
Jackson, MI 49201-1300
Phone
(517) 750-8730
Fax
(517) 780-9286
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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 6801086957 MI Primary

Addresses

Primary practice location

180 W. Michigan Ave.
Suite 802
Jackson, MI 49201-1300

Mailing address

180 W. Michigan Ave.
Suite 802
Jackson, MI 49201-1300
Phone (517) 750-8730

Other names 1

  • Ms. Jeannine M. Kreger Former name

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
I20060313000344 MI Practitioner - Clinical Social Worker 9234146481 Practice locations: Jackson, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Michigan State University College of Human Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2019 4TH St
Unit 2
Jackson, MI 49203-3555
Phone (517) 750-8730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1194709428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W. MICHIGAN AVE.",
            "address_2": "SUITE 802",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011300",
            "telephone_number": "517-750-8730",
            "fax_number": "517-780-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W. MICHIGAN AVE.",
            "address_2": "SUITE 802",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011300",
            "telephone_number": "517-750-8730",
            "fax_number": "517-780-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHBERG",
        "first_name": "JEANNINE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNINE",
            "last_name": "KREGER",
            "middle_name": "M.",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.