Provider Demographics
NPI:1881732626
Name:FLAMINIO, JENNIFER RUTH (LMSW, ACSW)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:RUTH
Last Name:FLAMINIO
Suffix:
Gender:F
Credentials:LMSW, ACSW
Other - Prefix:MS
Other - First Name:JENNFIER
Other - Middle Name:RUTH
Other - Last Name:BOLITHO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2193 ASSOCIATION DR STE 800
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-5996
Mailing Address - Country:US
Mailing Address - Phone:517-308-9790
Mailing Address - Fax:517-308-9790
Practice Address - Street 1:2193 ASSOCIATION DR STE 800
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-5996
Practice Address - Country:US
Practice Address - Phone:517-308-9790
Practice Address - Fax:517-308-9790
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010842791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical