Grace Elizabeth Jerome, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

685118041 Issued in MI

Practice address

0-113 Lake Michigan Dr NW
Grand Rapids, MI 49534

Phone

(616) 202-1922

NPI assigned

May 31, 2024

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1891535225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 SATURN DR",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601740",
            "telephone_number": "248-310-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0-113 LAKE MICHIGAN DR NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49534",
            "telephone_number": "616-202-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROME",
        "first_name": "GRACE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "685118041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ellyn Jepson, LMSW
• Gregory Jereb
• Heather Jereb, M.D.
• Lyric Jerelos
• Jacqueline Mackenzie Jernigan
• Carrie J Jerow, MPAS, PA-C
• Jerry B Vanleeuwen PHD PC
• Jerry B. Mulder DDS PLC (A Life of Smiles)
• Jerry Burgess Mulder
• Jerry's Dream Adult Homes

• 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 May 31, 2024; 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.