Individual provider Active NPI

Vanessa Ann Jurewicz, LMSW

  • Social Worker
  • Grand Rapids, MI
National Provider Identifier
1962893552
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801097668 Issued in MI
Practice address
4065 E Hills CT SE
Grand Rapids, MI 49546-6249
Phone
(616) 942-2081
Fax
(616) 942-5932
NPI assigned
Feb 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801097668 MI Primary

Addresses

Primary practice location

4065 E Hills CT SE
Grand Rapids, MI 49546-6249

Mailing address

4065 Saladin Dr SE
Grand Rapids, MI 49546-6249
Phone (616) 942-2081

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
I20230424001340 MI Practitioner - Clinical Social Worker 7618332867 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801097668MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Easterseals Morc Health Care, Inc. CurrentSince Mar 10, 2023 Accepting new patients
City on a Hill Ministries Past Accepting new patients

Locations

2399 E Walton Blvd
Auburn Hills, MI 48326
Phone (248) 475-6400

4065 E Hills Ct SE
Grand Rapids, MI 49546
Phone (616) 942-2081

22170 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 357-8197

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1962893552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 SALADIN DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466249",
            "telephone_number": "616-942-2081",
            "fax_number": "616-942-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 E HILLS CT SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466249",
            "telephone_number": "616-942-2081",
            "fax_number": "616-942-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUREWICZ",
        "first_name": "VANESSA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801097668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.