JENNIFER LYNN VANDENBERG LMSW
NPI 1790124030
Social Worker - Clinical in Grand Rapids, MI

Q: What is Jennifer Vandenberg's NPI number?

The NPI number for Jennifer Vandenberg is 1790124030. It was assigned to this individual provider in the NPPES registry on June 20, 2013.

Q: What is Jennifer Vandenberg's specialty?

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

Active since June 20, 2013PECOS EnrolledAccepts Medicare Assignment

221 TROWBRIDGE ST NE APT 208, GRAND RAPIDS, MI 49503(616) 369-8764 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2021, Sep 22, 2021 (2 updates tracked since 2021).

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About Jennifer Lynn Vandenberg Lmsw NPPES

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

JENNIFER LYNN VANDENBERG LMSW (NPI 1790124030) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801108905) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1790124030

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJENNIFER LYNN VANDENBERGCredential: LMSW

Location Address221 TROWBRIDGE ST NE APT 208Grand Rapids, MI 49503-1891

Mailing Address5294 Breeze Hill PlTroy, MI 48098-2721 · (734) 748-6116

Phone(616) 369-8764

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJune 20, 2013

Last NPPES UpdateOctober 4, 20212 updates tracked since enumeration

NPPES CertifiedOctober 4, 2021

✔ NPI 1790124030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801108905

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.

Also ListedSocial WorkerTaxonomy 104100000X

221 TROWBRIDGE ST NE APT 208, 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

Jennifer Lynn Vandenberg 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 ID9931687035

PECOS Enrollment IDI20260130000387

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 49503 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 10

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

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