MISS JENNIFER LEE THEODORE LMSW
NPI 1063894509
Social Worker - Clinical in New Baltimore, MI

Active since June 21, 2015
35031 23 MILE RD, NEW BALTIMORE, MI 48047(586) 725-5777 Get Directions Write a Review

NPPES record last updated: June 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Jennifer Lee Theodore Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS JENNIFER LEE THEODORE LMSW (NPI 1063894509) is an individual clinical provider in New Baltimore, Michigan, licensed in Michigan (6801092056) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1063894509
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS JENNIFER LEE THEODORECredential: LMSW
Location Address35031 23 MILE RDNew Baltimore, MI 48047-3649
Mailing Address35031 23 Mile RdNew Baltimore, MI 48047-3649
Sole ProprietorYes
Enumeration DateJune 21, 2015
NPI 1063894509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801092056
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
35031 23 MILE RD, New Baltimore, MI 48047

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
35031 23 MILE RD
NEW BALTIMORE, MI 48047
Psychiatric Hospital
35031 23 MILE RD
NEW BALTIMORE, MI 48047
Licensed Practical Nurse
35031 23 MILE RD
NEW BALTIMORE, MI 48047
Psychiatry & Neurology (Psychiatry)
35031 23 MILE RD
NEW BALTIMORE, MI 48047
Psychiatry & Neurology (Psychiatry)
35031 23 MILE RD
NEW BALTIMORE, MI 48047
Social Worker (Clinical)
35031 23 MILE RD
NEW BALTIMORE, MI 48047
Physician Assistant
35031 23 MILE RD
NEW BALTIMORE, MI 48047
Clinic/Center (Mental Health (Including Community Mental Health Center))
35031 23 MILE RD
NEW BALTIMORE, MI 48047

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Theodore's NPI number?

The NPI number for Jennifer Theodore is 1063894509. It was assigned to this individual provider in the NPPES registry on June 21, 2015.

Where is Jennifer Theodore located?

Jennifer Theodore practices at 35031 23 Mile Rd, New Baltimore, MI 48047. The listed phone number is (586) 725-5777.

What is Jennifer Theodore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Theodore was last updated on June 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.