Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jean Marie Holthaus, LISW, LMSW

Individual provider Social Worker · NPI 1992733182

Jean Marie Holthaus, LISW, LMSW is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 1995, 31 years ago. Practices with Pine Rest Christian Mental Health Services, a 353-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa and Michigan.

Years since qualifying
31
Licensed in
IA, MI
In the registry since
2006
Specialties on file
3
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

300 68th St SE
Grand Rapids, MI 49548-6927
Phone: (616) 559-5896
Fax: (616) 455-5460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 — (616) 365-8920

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801097646 (MI)
Social Worker Taxonomy 104100000X · Licence 2273 (IA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2273 (IA)

Record details

NPI number1992733182
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW , LMSW
Sole proprietorNo
NPI enumeratedJune 28, 2006
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Pine Rest Christian Mental Health Services — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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