Organization Active NPI

Jennifer Flanders, LMSW, LLC

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1992460380
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JENNIFER FLANDERS, LMSW, LLC
Practice address
1518 Carlton Ave NE
Grand Rapids, MI 49505-5410
Phone
(616) 217-9291
NPI assigned
Nov 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Authorized official

Name
Jeneva Quinn
Title
Credentialing Specialist
Phone
(616) 239-0810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1518 Carlton Ave NE
Grand Rapids, MI 49505-5410

Mailing address

1518 Carlton Ave NE
Grand Rapids, MI 49505-5410
Phone (616) 217-9291

Other identifiers 1

IdentifierTypeStateIssuer
1013304583OtherMINPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1992460380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 CARLTON AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055410",
            "telephone_number": "616-217-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 CARLTON AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055410",
            "telephone_number": "616-217-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER FLANDERS, LMSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "JENEVA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "616-239-0810"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013304583",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.