Individual provider · Type 1 NPI

Jenna Lee, LLMSW, QIDP

Clinical Social Worker · Grand Rapids, MI

NPI number 1679953012 Active

Practice location

805 Leonard St NE
Grand Rapids, MI 49503-1138

Fax (616) 774-1001

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801095916 (MI)

Clinical Social Worker: 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 interpers…

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About NPI 1679953012

Jenna Lee, LLMSW, QIDP's National Provider Identifier is 1679953012, issued on Jun 1, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 1, 2015.