Jennifer Fopma, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801066084 Issued in MI

Practice address

106 Krebs CT
Charlotte, MI 48813-1517

Phone

(616) 889-6522

NPI assigned

May 25, 2023

Last updated

May 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Emhpe Michigan PLLCGroup PAC ID 4082088588, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emhpe Michigan PLLC

  dba Ellie Mental Health

  • Clinical Social Worker
  • Holland, MI
  • NPI 1093420960
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1780376822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 KREBS CT",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131517",
            "telephone_number": "616-889-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 KREBS CT",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131517",
            "telephone_number": "616-889-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOPMA",
        "first_name": "JENNIFER",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801066084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Falsetta
• Family Medical Associates
• Makenzi Shade Farmer, MA
• Stephanie Flores
• Jennifer Jill Floyd, OTR
• Morgan Rayshell Foster
• Fox and Vine Therapy P.L.L.C
• Laura Rose Fox, LMSW
• James Fradette, M.P.T.
• Kimberly R Friar, MD

• Clinical Social Worker in Charlotte, MI
• Providers in Charlotte, 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 May 25, 2023; 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.

Verify at the official NPI Registry.