Jennifer Prominski, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801093095 Issued in MI

Practice address

233 Fulton St E Ste 524
Grand Rapids, MI 49503-3200

Phone

(616) 617-6898

NPI assigned

Mar 1, 2016

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Purposeful Growth & Intentional Healing LLC

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1356817365
  NPD (past) Authorized official

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1700246071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 FULTON ST E STE 524",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033269",
            "telephone_number": "616-617-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 FULTON ST E STE 524",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033200",
            "telephone_number": "616-617-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROMINSKI",
        "first_name": "JENNIFER",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Treatment Solutions PC
• Jordan Profitt, MA, ATC/L
• Calista Kaitlyn Prohaska, DO
• Project Reach Services Counseling & Personal Growth Center
• Project Rehab
• Prompter Care, Inc
• Paige Savannah Pronger
• Proof We Exist Therapist
• Karin Proos, PHARMD
• Kimberlee Jean Prose, PSY.D.

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, 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 Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.