Individual provider Active NPI

Jennalyn Marie Jubeck, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1538033154
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801119656 Issued in MI
Practice address
2774 Birchcrest Dr SE
Grand Rapids, MI 49506-5477
Phone
(616) 988-3422
NPI assigned
Oct 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801119656 MI Primary

Addresses

Primary practice location

2774 Birchcrest Dr SE
Grand Rapids, MI 49506-5477

Mailing address

5850 Bayberry Farms Dr SW Apt 4
Wyoming, MI 49418-9118
Phone (517) 993-8842

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
I20260307000458 MI Practitioner - Clinical Social Worker 4981186962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2774 Birchcrest Dr SE
Grand Rapids, MI 49506-5477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801119656MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Minds LLC Multi-Specialty CurrentSince Feb 1, 2026 Accepting new patients

Locations

2774 Birchcrest Dr SE
Grand Rapids, MI 49506
Phone (616) 329-3264

Organizations & group practices 1

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": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1538033154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 BAYBERRY FARMS DR SW APT 4",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494189118",
            "telephone_number": "517-993-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2774 BIRCHCREST DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495065477",
            "telephone_number": "616-988-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUBECK",
        "first_name": "JENNALYN",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.