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JENNIFER LYNN SHIELDS LMSW
NPI 1972632743
Social Worker - Clinical in Rochester, MI

Active since March 05, 2007Opted out of Medicare · through Jan 10, 2028
410 W UNIVERSITY DR STE 130, ROCHESTER, MI 48307(248) 892-4887 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2019, Sep 24, 2019, Sep 19, 2019 and 1 more (4 updates tracked since 2019).

About Jennifer Lynn Shields Lmsw NPPES

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

JENNIFER LYNN SHIELDS LMSW (NPI 1972632743) is an individual clinical provider in Rochester, Michigan, licensed in Michigan (6802078818) and active in the NPI registry since March 2007. She has opted out of Medicare through January 10, 2028 and maintains a secondary practice location in Pontiac.

NPPES Registry Identity

NPI1972632743
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER LYNN SHIELDSCredential: LMSW
Location Address410 W UNIVERSITY DR STE 130Rochester, MI 48307-1938
Mailing Address410 W University Dr Ste 130Rochester, MI 48307-1938 · (248) 892-4887
Phone(248) 892-4887
Sole ProprietorNo
Enumeration DateMarch 5, 2007
Last NPPES UpdateOctober 11, 20194 updates tracked since enumeration
✔ NPI 1972632743 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 · 6802078818
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.
410 W UNIVERSITY DR STE 130, Rochester, MI 48307
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Other Names 1

Former Name (1)Jennifer Lynn Willis Lbsw

Secondary Practice Location 1

Location 1114 Orchard Lake RdPontiac, MI 48341-2244 · Phone (248) 858-7766 ext. 277 · Fax (248) 858-7201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennifer Lynn Shields Lmsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 10, 2020 through January 10, 2028.

Opt-Out Effective DateJanuary 10, 2020
Opt-Out In Effect ThroughJanuary 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Shields's NPI number?

The NPI number for Jennifer Shields is 1972632743. It was assigned to this individual provider in the NPPES registry on March 5, 2007. The provider is also known as Jennifer Lynn Willis Lbsw.

Where is Jennifer Shields located?

Jennifer Shields practices at 410 W University Dr Ste 130, Rochester, MI 48307. The listed phone number is (248) 892-4887.

What is Jennifer Shields's specialty?

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

Is Jennifer Shields enrolled in Medicare?

No. Jennifer Shields has opted out of Medicare through January 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Shields was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.