Individual provider Active NPI

Colette Jasiak, LMSW

  • School Social Worker
  • Saint Joseph, MI
National Provider Identifier
1922919679
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
6801067026 Issued in MI
Practice address
515 E Glenlord Rd
Saint Joseph, MI 49085-9342
Phone
(269) 926-3657
NPI assigned
Sep 14, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 6801067026 MI Primary

Addresses

Primary practice location

515 E Glenlord Rd
Saint Joseph, MI 49085-9342

Mailing address

515 E Glenlord Rd
Saint Joseph, MI 49085-9342
Phone (269) 926-3657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1922919679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E GLENLORD RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859342",
            "telephone_number": "269-926-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E GLENLORD RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859342",
            "telephone_number": "269-926-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASIAK",
        "first_name": "COLETTE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MI",
            "license": "6801067026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.