Jammie Leigh Feutz, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851114699 Issued in MI

Practice address

3152 Peregrine Dr NE
Grand Rapids, MI 49525-9723

Phone

(616) 643-0833

Fax

(616) 643-0844

NPI assigned

Dec 7, 2022

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": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1902517246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 PEREGRINE DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259723",
            "telephone_number": "616-643-0833",
            "fax_number": "616-643-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 PEREGRINE DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259723",
            "telephone_number": "616-643-0833",
            "fax_number": "616-643-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEUTZ",
        "first_name": "JAMMIE",
        "middle_name": "LEIGH",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851114699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleigh Marie Fetcko-Fayad, MD
• Natalie Beth Fettinger, MD
• Jana C Feuerstein
• Janiece Ann Feuerstein, NP
• Makenzie Feuerstein
• Joanne Feutz, OTR/L
• Patrick Allen Fewins, MD
• Christopher Feys
• Patricia L Fick, MD
• Holly N. Fiddler, P.A.

• 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 Dec 7, 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.