Provider Demographics
NPI:1013242767
Name:BELL, JENNIFER ROBIN (MSW, LMSW)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ROBIN
Last Name:BELL
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3815 W SAINT JOSEPH ST STE A300
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-5603
Mailing Address - Country:US
Mailing Address - Phone:517-489-1468
Mailing Address - Fax:
Practice Address - Street 1:3815 W SAINT JOSEPH ST STE A300
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-5603
Practice Address - Country:US
Practice Address - Phone:517-489-1468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-14
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT352103-35011041C0700X
COCSW.099277141041C0700X
MI68010914231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical