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

Miss. Jenna Lee, LLMSW, QIDP

Individual provider Clinical Social Worker · NPI 1679953012

Miss. Jenna Lee, LLMSW, QIDP is a Clinical Social Worker in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2015

Practice location Address checks out

805 Leonard St NE
Grand Rapids, MI 49503-1138
Phone: (616) 588-7221
Fax: (616) 774-1001
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801095916 (MI)

Record details

NPI number1679953012
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW , QIDP
Sole proprietorYes
NPI enumeratedJune 1, 2015
Last updated in NPPESJune 1, 2015

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