Jacqueline Wood

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

5281 Clyde Park Ave SW
Suite 2
Wyoming, MI 49509-9506

Phone

(616) 719-4263

Fax

(616) 719-4267

NPI assigned

Feb 12, 2015

Last updated

Apr 18, 2024By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

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 NPD
• Aac on the Lakeshore, PLLC

  • Speech-Language Pathologist
  • Grand Rapids, MI
  • NPI 1821647488
  NPD (past)
• Moka

  • Case Management Agency
  • Wyoming, MI
  • NPI 1992195630
  NPD (past)

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1497146401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5281 CLYDE PARK AVE SW",
            "address_2": "SUITE 2",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495099506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5281 CLYDE PARK AVE SW",
            "address_2": "SUITE 2",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495099506",
            "telephone_number": "616-719-4263",
            "fax_number": "616-719-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Wolffis
• Mark D. Wolfman, DC
• Jordyn Wollman
• Wolverine Dermatology, PC
• Allison Wood, MA
• Woodward Detroit CVS LLC (CVS Pharmacy #16437)
• Woodward Detroit CVS, L.L.C. (CVS Pharmacy #08290)
• Tristan J Worthington, DO
• Wright & Filippis, Inc.
• Wright & Filippis, Inc.

• Clinical Social Worker in Wyoming, MI
• Providers in Wyoming, 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, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.