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

Jennifer Petersen, LLMSW

Individual provider Clinical Social Worker · NPI 1386427136

Jennifer Petersen, LLMSW is a Clinical Social Worker in Grand Rapids, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

1331 Martin Luther King Jr St SE
Grand Rapids, MI 49506-2634
Phone: (616) 819-1067
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1331 Martin Luther King Jr St Se, Grand Rapids, MI 49506-2634 — (616) 819-1067

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6851109934 (MI)

Record details

NPI number1386427136
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedAugust 16, 2023
Last updated in NPPESAugust 16, 2023
Certification dateAugust 16, 2023

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