Individual provider Active NPI

Jenna Lynn Spek, LMSW

  • Clinical Social Worker
  • Holland, MI
National Provider Identifier
1447923032
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801117862 Issued in MI
Practice address
483 Century LN
Holland, MI 49423-4286
Phone
(616) 396-5284
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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 6801117862 MI Primary

Addresses

Primary practice location

483 Century LN
Holland, MI 49423-4286

Mailing address

700 Washington Ave Ste 220
Grand Haven, MI 49417-1462
Phone (616) 842-6710

Other practice location 1

700 Washington Ave Ste 220
Grand Haven, MI 49417-1462
Phone (616) 842-6710

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
I20240322000127 MI Practitioner - Clinical Social Worker 5092152397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegan County Community Mental Health ServicesGroup PAC ID 1153317607, 25 clinicians

Practice addresses (Care Compare)

540 Jenner Dr
Allegan, MI 49010-1517
Phone (269) 673-6617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801117862MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Allegan County Community Mental Health Services CurrentSince Aug 3, 2025 Accepting new patients
Reach for Recovery, Inc. Clinical CurrentSince Mar 1, 2024 Accepting new patients
Allegan County Community Mental Health Services CurrentSince Aug 3, 2025 Accepting new patients
Arbor Circle Corporation Clinical CurrentSince Mar 13, 2025 Accepting new patients
Reach for Recovery, Inc. Clinical CurrentSince Mar 1, 2024 Accepting new patients

Locations

540 Jenner Dr
Allegan, MI 49010
Phone (269) 673-6617

3285 122nd Ave
Allegan, MI 49010
Phone (269) 673-6617

1101 Ball Ave NE
Grand Rapids, MI 49505
Phone (616) 456-7775

1115 Ball Ave NE
Grand Rapids, MI 49505
Phone (616) 451-3001

483 Century Ln
Holland, MI 49423
Phone (616) 396-5284

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": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1447923032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WASHINGTON AVE STE 220",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171462",
            "telephone_number": "616-842-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 CENTURY LN",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234286",
            "telephone_number": "616-396-5284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Washington Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Grand Haven",
            "state": "MI",
            "postal_code": "494171462",
            "country_code": "US",
            "telephone_number": "616-842-6710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEK",
        "first_name": "JENNA",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801117862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.