Individual provider Active NPI

Janelle Leblanc, LMSW

  • Clinical Social Worker
  • Ada, MI
National Provider Identifier
1710479142
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801108839 Issued in MI
Practice address
4764 Fulton St E Ste 101
Ada, MI 49301-9086
Phone
(616) 920-0703
NPI assigned
Jun 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801108839 MI Primary

Addresses

Primary practice location

4764 Fulton St E Ste 101
Ada, MI 49301-9086

Mailing address

1117 Sigsbee St SE
Grand Rapids, MI 49506-2542
Phone (616) 920-0703

Other practice location 1

1117 Sigsbee St SE
Grand Rapids, MI 49506-2542
Phone (616) 920-0703

Other names 1

  • Janelle Moulding Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801108839MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lantern Counseling LLC Past Accepting new patients
Mid-Michigan Recovery Services, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1710479142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 SIGSBEE ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062542",
            "telephone_number": "616-920-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4764 FULTON ST E STE 101",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493019086",
            "telephone_number": "616-920-0703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 Sigsbee St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495062542",
            "country_code": "US",
            "telephone_number": "616-920-0703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "JANELLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801108839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANELLE",
            "last_name": "MOULDING",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ada, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.