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

Miss. Jenna Michele Kimminau, LSW

Individual provider Clinical Social Worker · NPI 1467027300

Miss. Jenna Michele Kimminau, LSW is a Clinical Social Worker in Granger, Indiana. Qualified in 2020, 6 years ago. Practices with Great Lakes Behavior Management Specialists, Inc, a 9-clinician group and works from 2 locations. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2021
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6910 N Main St Unit 52
Granger, IN 46530-8412
Phone: (574) 231-6766
Fax: (833) 249-2411
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 3201 E Center Street Ext, Warsaw, IN 46582-3907 — (574) 267-1700

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34012832A (IN)

Record details

NPI number1467027300
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorYes
NPI enumeratedMay 24, 2021
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Great Lakes Behavior Management Specialists, Inc. — 9 clinicians
Accepts Medicare assignment Not indicated

Other providers in Granger