Jill Dubridge, L.M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

680109566 Issued in MI

Practice address

311 Auburn Ave SE
Grand Rapids, MI 49506-1623

Phone

(616) 742-6797

NPI assigned

Sep 16, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Jill Dubridge Counseling

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1437880028
  NPD Authorized official

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1831591346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 AUBURN AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061623",
            "telephone_number": "616-742-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 AUBURN AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061623",
            "telephone_number": "616-742-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBRIDGE",
        "first_name": "JILL",
        "credential": "L.M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "680109566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna N Dubois
• Eryka Paige Dubois
• Iveta Dubravec, MD
• Vincent A Dubravec, M.D.
• Brenton Dubridge
• Raia Ducat
• Teresa A Ducham, REHAB TECHNICIAN
• Stephen Paul Duchemin, PA-C
• Gail Lynn Duchon, OTR/L
• Chloe Duckworth

• 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 Jun 21, 2022; 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.