Danielle Kathryne Jandernoa, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801093815 Issued in MI

Practice address

890 3 Mile Rd NW
Ste 2
Grand Rapids, MI 49544-8216

Phone

(616) 202-2342

Fax

(616) 369-3769

NPI assigned

Mar 27, 2012

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

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bloom Behavioral Health Partners PLLCGroup PAC ID 3678959632, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bloom Behavioral Health Partners PLLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1174176366

  Clinical

  Medicare reassignment Care Compare group NPD
• Growing a Balanced Life LLC

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1093631178
  Authorized official Same address or phone
• Aac on the Lakeshore, PLLC

  • Speech-Language Pathologist
  • Grand Rapids, MI
  • NPI 1821647488
  NPD (past)
• Northwest Counseling Associates, PLLC

  • Clinical Social Worker
  • Walker, MI
  • NPI 1043394703
  NPD (past)

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1447526272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 3 MILE RD NW",
            "address_2": "STE 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495448216",
            "telephone_number": "616-202-2342",
            "fax_number": "616-369-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 3 MILE RD NW",
            "address_2": "STE 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495448216",
            "telephone_number": "616-202-2342",
            "fax_number": "616-369-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANDERNOA",
        "first_name": "DANIELLE",
        "middle_name": "KATHRYNE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay V James, LMSW
• Tylyn Jameson
• Jamie Decker Inc.
• Srinivas K. Janardan, M.D.
• Emily Alison Jandasek, DNP
• Jane L. Spies-Wert, PH.D., P.C.
• Jill Janecyk, RPH
• Daniel Janes
• Kristopher Janevski
• Manho Jang, O.D.

• 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 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.