Jill Renee Morell Humphrey, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801087545 Issued in MI

Practice address

1959 Thornapple River Dr SE
Grand Rapids, MI 49546-9706

Phone

(616) 226-6138

NPI assigned

Apr 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jill Renee Morell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Carla Miller Ma MSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1942334669
  NPD (past)

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1295478204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 COUNTRY CLUB WAY",
            "city": "ALBION",
            "state": "MI",
            "postal_code": "492249589",
            "telephone_number": "517-507-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 THORNAPPLE RIVER DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495469706",
            "telephone_number": "616-226-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELL HUMPHREY",
        "first_name": "JILL",
        "middle_name": "RENEE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "MORELL",
            "middle_name": "RENEE",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew David Moraw
• Holly Beth Morcote, PA
• Kasey Lynn Morden, M.D.
• Peter C. Morden, M.D.
• Marcia Lynn Moreen, RN
• Christopher Michael Morelli, D.O.
• Alexa Morello, MS, RDN
• Wendy Rochelle Moreno, COTAL
• Gustavo A Moretta, NP
• Makenna Morey

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.