Active NPI
Jewel Hill LLC
- Clinical Social Worker
- Battle Creek, MI
National Provider Identifier
1710671540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JEWEL HILL LLC
- Practice address
- 11135 Burrows Rd
Battle Creek, MI 49014-8193 - Phone
- (269) 986-6372
- NPI assigned
- Jun 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Gladys Jewel Seedorf, LMSW
- Title
- Ceo
- Phone
- (269) 986-6372
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
11135 Burrows Rd
Battle Creek, MI 49014-8193
Mailing address
11135 Burrows Rd
Battle Creek, MI 49014-8193
Phone (269) 986-6372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, AL, OH
Enrollment records 3
National Provider Directory
National Provider DirectoryLocations
1623 W Centre Ave
Portage, MI 49024
Phone (269) 986-6372
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685923200000",
"number": "1710671540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11135 BURROWS RD",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490148193",
"telephone_number": "269-986-6372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11135 BURROWS RD",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490148193",
"telephone_number": "269-986-6372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEWEL HILL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-05",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A",
"authorized_official_last_name": "SEEDORF",
"authorized_official_first_name": "GLADYS",
"authorized_official_middle_name": "JEWEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "269-986-6372",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.