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

MS. Jenifer Lynn Kallio, LSCSW

Individual provider Clinical Social Worker · NPI 1962694455

MS. Jenifer Lynn Kallio, LSCSW is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2000, 26 years ago. Practices with Pine Rest Christian Mental Health Services, a 353-clinician group and accepts Medicare assignment. Licensed in Kansas and Michigan.

Years since qualifying
26
Licensed in
KS, MI
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

300 68th St SE
Grand Rapids, MI 49548-6927
Phone: (616) 455-5000
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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 6801093905 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4009 (KS)

Record details

NPI number1962694455
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSCSW
Sole proprietorNo
NPI enumeratedAugust 17, 2007
Last updated in NPPESMay 31, 2022
Certification dateMay 31, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Pine Rest Christian Mental Health Services — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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