Active NPI
Jennalyn Marie Jubeck, LMSW
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1538033154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801119656
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801119656 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smart Minds LLC | Multi-Specialty | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.