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

Individual provider Clinical Social Worker · NPI 1104534874

Jennifer Marie Poling, LMSW is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2017, 9 years ago. Practices with Centennial Park Counseling PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2022
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

3225 N Evergreen Dr NE Ste 301
Grand Rapids, MI 49525-9334
Phone: (616) 364-1500
Fax: (616) 364-6400
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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 6801116198 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801102056 (MI)

Record details

NPI number1104534874
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedNovember 10, 2022
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Centennial Park Counseling Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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