Active NPI
Jennifer Leigh James-Witteveen, LMSW
- Clinical Social Worker
- Shelby, MI
National Provider Identifier
1902173784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801093240
- Practice address
- 2838 S 56TH Ave
Shelby, MI 49455-9761 - Phone
- (331) 742-1208
- NPI assigned
- Nov 22, 2011
- Last updated
- Jun 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mi Quiet Oasis Therapy LLC. | Clinical | Current | Accepting new patients |
| Truism Center | Current | 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.
-
- Clinical Social Worker
- Shelby, MI
- NPI 1023851110
-
- Mental Health Counselor
- Grand Rapids, MI
- NPI 1336706480
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
- Hackley Hospital (Women's Center Clinic-Lakeshore)
- Alicia Harmon, CHW
- Haven Adult Day Care Center LLC
- Hometown Pharmacy Inc (HomeTown Pharmacy #21 - Shelby)
- HPCN (Lakeshore Medical Center)
- Mark Charles Jensen, PT, DPT
- Brock Allen Johnsen, D.D.S.
- Patricia M Jurcich, RN,MSN,FNP-C
- Duane A Kelley, NP
- Kevin Robert Kellogg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.