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Jenna Stack, LMSW
NPI 1922451293 · on the registry since 2016
Practice
- Address
- 4211 Parkway Place Dr Sw
Grandville, MI 49418 - Phone
- (616) 222-3700
- Fax
- (616) 222-3707
- Organisation at this address
- Grand River Endodontics Pc
Pine Rest Christian Mental Health ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan