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

Individual provider Social Worker · NPI 1255995213

Jacqueline A Wondolowski, LMSW is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 1981, 45 years ago. Practices with Rehabilitation and Physical Medicine Specialists PC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
45
Licensed in
MI
In the registry since
2019
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

350 Lafayette Ave SE Ste 301
Grand Rapids, MI 49503-4656
Phone: (616) 458-0801
Fax: (616) 458-4065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6801021654 (MI)

Record details

NPI number1255995213
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedApril 25, 2019
Last updated in NPPESApril 25, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Rehabilitation And Physical Medicine Specialists Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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