Active NPI
Jennifer Flanders, LMSW, LLC
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1992460380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013304583 | Other | MI | NPI |
National Provider Directory
National Provider DirectoryPractitioners & 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.