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MISS JACKLYN EDING LMSW
NPI 1609446434
Social Worker - Clinical in Grand Rapids, MI

Active since June 24, 2021PECOS Enrolled
3292 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 365-8920 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Jacklyn Eding Lmsw NPPES

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

MISS JACKLYN EDING LMSW (NPI 1609446434) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801117478) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1609446434
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS JACKLYN EDINGCredential: LMSW
Location Address3292 N EVERGREEN DR NEGrand Rapids, MI 49525-9746
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000
Phone(616) 365-8920
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 24, 2021
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1609446434 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 · 6801117478
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.
3292 N EVERGREEN DR NE, Grand Rapids, MI 49525
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Jacklyn Eding Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365886587
PECOS Enrollment IDI20240215002924
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

NANCY HAMSTREET LMSW
Social Worker (School)
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
RENEE ORR LMSW
Social Worker
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
STEPHANIE BROWN
Social Worker (Clinical)
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
KENDRA-MARIE MADDISON GARCIA MD, BCBA, LBA
Behavior Analyst
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
KRESTIN RADONOVICH PHD
Psychologist (Clinical)
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
LAUREN VANDRUNEN LMSW
Social Worker (Clinical)
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
MATTHEW SCOTT PETTINGA MA, LPC
Counselor
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
SUSAN MCKEEBY BCBA, LBA
Behavior Analyst
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920

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 Jacklyn Eding's NPI number?

The NPI number for Jacklyn Eding is 1609446434. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is Jacklyn Eding located?

Jacklyn Eding practices at 3292 N Evergreen Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 365-8920.

What is Jacklyn Eding's specialty?

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

Is Jacklyn Eding enrolled in Medicare?

Yes. Jacklyn Eding is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacklyn Eding was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.