Individual provider Active NPI

Michael L Jankowski, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1295004448
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801086452 Issued in MI
Practice address
949 Wealthy St SE Ste 205
Grand Rapids, MI 49506-1596
Phone
(616) 446-7265
NPI assigned
Dec 16, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 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 6801086452 MI Primary

Addresses

Primary practice location

949 Wealthy St SE Ste 205
Grand Rapids, MI 49506-1596

Mailing address

949 Wealthy St SE Ste 205
Grand Rapids, MI 49506-1596
Phone (616) 446-7265

Other identifiers 1

IdentifierTypeStateIssuer
1295004448MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OR, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120503000156 MI Practitioner - Clinical Social Worker 9739341041 Reassigns benefits to 1 organization
I20230220000988 OR Practitioner - Clinical Social Worker 9739341041 Reassigns benefits to 1 organization
I20230220002034 WA Practitioner - Clinical Social Worker 9739341041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sokyahealth Medical Group PCGroup PAC ID 9739575648, 68 clinicians

Practice addresses (Care Compare)

5109 NE 82ND Ave
Suite 215
Vancouver, WA 98662-6841
Phone (877) 840-6956

8555 SW Apple Way
Suite 320
Portland, OR 97225-1775
Phone (877) 840-6956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Headlight Health Medical Group PLLC CurrentSince Feb 25, 2026 Accepting new patients
Sokyahealth Medical Group PC Clinical CurrentSince Nov 15, 2022 Accepting new patients
Counseling Center of West Michigan, LLC CurrentSince Aug 18, 2022 Accepting new patients
Virtuwell Therapy, LLC PastSince Feb 4, 2024 Accepting new patients
Shashita Inamdar MD Professional Corporation PastSince Nov 15, 2022 Accepting new patients

Locations

333 Bridge St NW
Ste 1120
Grand Rapids, MI 49504
Phone 61680536601005

360 E Beltline Ave NE
Ste 100
Grand Rapids, MI 49506
Phone (616) 566-1021

233 Fulton St E
Ste 526
Grand Rapids, MI 49503
Phone (616) 426-9193

65 S Main St
Ste A
Rockford, MI 49341

4800 S Macadam Ave
Ste 230
Portland, OR 97239
Phone (866) 657-6592

8555 SW Apple Way
Ste 320
Portland, OR 97225
Phone (503) 298-4592

1827 NE 44th Ave
Ste 310
Portland, OR 97213
Phone (503) 298-4592

700 NE Multnomah St
Ste 870
Portland, OR 97232
Phone (503) 238-5559

5109 NE 82nd Ave
Ste 215
Vancouver, WA 98662
Phone (832) 840-1604

Interoperability endpoints

  • Direct secure messaging: michael.jankowski.p1@direct.sokya.nextgenshare.com

Organizations & group practices 5

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": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1295004448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 WEALTHY ST SE STE 205",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061596",
            "telephone_number": "616-446-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 WEALTHY ST SE STE 205",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061596",
            "telephone_number": "616-446-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKOWSKI",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-16",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295004448",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.