Provider Demographics
NPI:1902601487
Name:WELLS, JARMA (MSW)
Entity type:Individual
Prefix:
First Name:JARMA
Middle Name:
Last Name:WELLS
Suffix:
Gender:
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1836 SOUTHAMPTON DR SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49508-2649
Mailing Address - Country:US
Mailing Address - Phone:616-808-1097
Mailing Address - Fax:
Practice Address - Street 1:2017 EASTERN AVE SE UNIT 7748
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49510-5024
Practice Address - Country:US
Practice Address - Phone:616-808-1097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010683271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical