Individual provider Active NPI

Jennifer Leigh James-Witteveen, LMSW

  • Clinical Social Worker
  • Shelby, MI
National Provider Identifier
1902173784
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801093240 Issued in MI
Practice address
2838 S 56TH Ave
Shelby, MI 49455-9761
Phone
(331) 742-1208
NPI assigned
Nov 22, 2011
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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 6801093240 MI Primary

Addresses

Primary practice location

2838 S 56TH Ave
Shelby, MI 49455-9761

Mailing address

2838 S 56TH Ave
Shelby, MI 49455-9761
Phone (231) 742-1208

Other names 1

  • Mrs. Jennifer Leigh James-Witteveen Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241206003084 MI Practitioner - Clinical Social Worker 0042681736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Truism CenterGroup PAC ID 8820538184, 3 clinicians

Practice addresses (Care Compare)

221 Trowbridge St NE
Apt 208
Grand Rapids, MI 49503-1891
Phone (616) 209-9295

2838 S 56TH Ave
Shelby, MI 49455-9761
Phone (231) 742-1208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mi Quiet Oasis Therapy LLC. Clinical CurrentSince Jul 1, 2024 Accepting new patients
Truism Center CurrentSince Oct 12, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1902173784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2838 S 56TH AVE",
            "city": "SHELBY",
            "state": "MI",
            "postal_code": "494559761",
            "telephone_number": "231-742-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2838 S 56TH AVE",
            "city": "SHELBY",
            "state": "MI",
            "postal_code": "494559761",
            "telephone_number": "331-742-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES-WITTEVEEN",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JAMES-WITTEVEEN",
            "middle_name": "LEIGH",
            "prefix": "MRS.",
            "credential": "LLMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shelby, MI

Sources for this page

Verify at the official NPI Registry.