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JENNIFER PETERSEN LLMSW
NPI 1386427136
Social Worker - Clinical in Grand Rapids, MI

Active since August 16, 2023
1331 MARTIN LUTHER KING JR ST SE, GRAND RAPIDS, MI 49506(616) 819-1067 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Petersen Llmsw NPPES

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

JENNIFER PETERSEN LLMSW (NPI 1386427136) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6851109934) and active in the NPI registry since August 2023. She maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1386427136
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER PETERSENCredential: LLMSW
Location Address1331 MARTIN LUTHER KING JR ST SEGrand Rapids, MI 49506-2634
Mailing Address1331 Martin Luther King Jr St SeGrand Rapids, MI 49506-2634 · (616) 819-1067
Phone(616) 819-1067
Sole ProprietorNo
Enumeration DateAugust 16, 2023
NPPES CertifiedAugust 16, 2023
✔ NPI 1386427136 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 · 6851109934
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.
1331 MARTIN LUTHER KING JR ST SE, Grand Rapids, MI 49506
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Secondary Practice Location 1

Location 11331 Martin Luther King Jr St SEGrand Rapids, MI 49506-2634 · Phone (616) 819-1067

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.

BROOKE STEPHANIE BRIGHAM M.S., PSY.S.
Psychologist (School)
1331 MARTIN LUTHER KING JR ST SE
GRAND RAPIDS, MI 49506
Kent County (616) 819-2000
JENNIFER DAWN ARMSTRONG LLMSW
Social Worker (Clinical)
1331 MARTIN LUTHER KING JR ST SE
GRAND RAPIDS, MI 49506
Kent County (616) 212-3912

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 Petersen's NPI number?

The NPI number for Jennifer Petersen is 1386427136. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Where is Jennifer Petersen located?

Jennifer Petersen practices at 1331 Martin Luther King Jr St SE, Grand Rapids, MI 49506. The listed phone number is (616) 819-1067.

What is Jennifer Petersen'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 Petersen was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.