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JACQUELINE A WONDOLOWSKI LMSW
NPI 1255995213
Social Worker in Grand Rapids, MI

Active since April 25, 2019PECOS EnrolledAccepts Medicare Assignment
350 LAFAYETTE AVE SE STE 301, GRAND RAPIDS, MI 49503(616) 458-0801(616) 458-4065 Get Directions Write a Review

NPPES record last updated: April 25, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline A Wondolowski Lmsw NPPES

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

JACQUELINE A WONDOLOWSKI LMSW (NPI 1255995213) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6801021654) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1255995213
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJACQUELINE A WONDOLOWSKICredential: LMSW
Location Address350 LAFAYETTE AVE SE STE 301Grand Rapids, MI 49503-4656
Mailing Address350 Lafayette Ave Se Ste 301Grand Rapids, MI 49503-4656 · (616) 458-0801 · Fax (616) 458-4065
Phone(616) 458-0801
Fax(616) 458-4065
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateApril 25, 2019
✔ NPI 1255995213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MI · 6801021654
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
350 LAFAYETTE AVE SE STE 301, Grand Rapids, MI 49503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline A Wondolowski Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365785227
PECOS Enrollment IDI20190515003265
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

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

COURTNEY TELFER NP-C
Nurse Practitioner
350 LAFAYETTE AVE SE STE 301
GRAND RAPIDS, MI 49503
Kent County (616) 459-0801
VICTORIA ANN SCOTT
Nurse Practitioner (Family)
350 LAFAYETTE AVE SE STE 301
GRAND RAPIDS, MI 49503
Kent County (616) 459-0801

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 Jacqueline Wondolowski's NPI number?

The NPI number for Jacqueline Wondolowski is 1255995213. It was assigned to this individual provider in the NPPES registry on April 25, 2019.

Where is Jacqueline Wondolowski located?

Jacqueline Wondolowski practices at 350 Lafayette Ave SE Ste 301, Grand Rapids, MI 49503. The listed phone number is (616) 458-0801.

What is Jacqueline Wondolowski's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jacqueline Wondolowski enrolled in Medicare?

Yes. Jacqueline Wondolowski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacqueline Wondolowski accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Jacqueline Wondolowski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Wondolowski was last updated on April 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.