Healthcare Provider Details

I. General information

NPI: 1013242767
Provider Name (Legal Business Name): JENNIFER ROBIN BELL MSW, LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2009
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3815 W SAINT JOSEPH ST STE A300
LANSING MI
48917-5603
US

IV. Provider business mailing address

3815 W SAINT JOSEPH ST STE A300
LANSING MI
48917-5603
US

V. Phone/Fax

Practice location:
  • Phone: 517-489-1468
  • Fax:
Mailing address:
  • Phone: 517-489-1468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number352103-3501
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09927714
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801091423
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: