Jamal Fisher, MSW, LMSW
Individual provider Active NPI Clinical Social Worker · Ada, MI
NPI 1497148175 · NPPES record last updated Oct 7, 2025
Key facts
- NPI
- 1497148175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801106547 (MI)
- Practice address
- 7125 Headley St SE
Suite 572
Ada, MI 49301 - Phone
- (616) 433-1045
- NPI assigned
- Mar 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211112000951 | MI | Practitioner - Clinical Social Worker | 2668861642 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamal Fisher Therapy PLLC | Clinical | Current |
Accepting new patients |
| Counseling Center of West Michigan, LLC | Current |
Accepting new patients | |
| Virtuwell Therapy, LLC | Past |
Accepting new patients |
Locations
7125 Headley St SE
Unit 572
Ada, MI 49301
Phone (616) 433-1045
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
625 Kenmoor Ave SE
Ste 215
Grand Rapids, MI 49546
65 S Main St
Ste A
Rockford, MI 49341
Interoperability endpoints
- jfisher293524@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801106547 | MI | Yes |
Addresses
Primary practice location
7125 Headley St SE
Suite 572
Ada, MI 49301
Mailing address
7125 Headley St SE Unit 572
Ada, MI 49301-4519
Phone (616) 901-9736
Other providers in Ada, MI
- Kathleen Ann Esch
- Evergreen Meadow Afc
- Travis James Faulkner
- Joseph Fazzio
- Karen Feaster
- Tracy Flanders
- Robert Flannigan
- Lawrence G. Foe
- Michael Fossel
- John Leonard Fox
All providers in Ada, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.