MEDICARE: JANELLE LEBLANC LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6801108839	MI

General Provider Information

NPI Number	:	1710479142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANELLE LEBLANC LMSW

Provider Business Mailing Address
First Line	:	1117 SIGSBEE ST SE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49506-2542
Country	:	US
Telephone Number	:	616-920-0703
Fax Number	:

Provider Business Practice Location Address
First Line	:	4764 FULTON ST E STE 101
Second Line	:
City	:	ADA
State	:	MI
Zip	:	49301-9086
Country	:	US
Telephone Number	:	616-920-0703
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2018
Last Update Date	:	01/13/2026

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Directions to “ JANELLE LEBLANC LMSW” Practice Location

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