Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Debra Jesudowich, LMSW

Individual provider Clinical Social Worker · NPI 1174211791

Debra Jesudowich, LMSW is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2016, 10 years ago. Practices with Arbor Circle Corporation, an 18-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2023
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

1115 Ball Ave NE
Grand Rapids, MI 49505-5904
Phone: (989) 331-1805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801120917 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6851116167 (MI)

Record details

NPI number1174211791
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedMay 1, 2023
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Arbor Circle Corporation — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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