IndividualActive
Jenna Genereaux, LMSW
NPI 1205355674 · Clinical Social Worker · Kingsley, MI
Provider details
- NPI number
- 1205355674
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6801100213 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
410 Blair St
Kingsley, MI 49649-9277
Phone: (231) 570-0627
Street-level locationGet directions
Mailing address
2692 S M 37
Traverse City, MI 49685-9187
Registry dates
- Enumerated
- 2017-09-16
- Last updated
- 2021-11-03
- Certified
- 2021-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.