MISS SARAH JEAN RIEMERSMA (LMSW) – Clinical Social Worker, NPI 1104076967

MISS SARAH JEAN RIEMERSMA (LMSW) is a healthcare provider. based in Grand rapids, Michigan. specializing in Clinical Social Worker. They hold the professional credentials LMSW. They hold a License No. 6801090297 (MI). The NPI Number for MISS SARAH JEAN RIEMERSMA (LMSW) is 1104076967

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MISS SARAH JEAN RIEMERSMA (LMSW)
NPI
1104076967
Phone
(616) 732-6391
Address
40 JEFFERSON AVE SE
Enumeration Date
29 September 2008
Last Update Date
15 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6162223700
Graduation Year
2008 (18 years ago)
PAC ID
9436498730
Group Practice PAC ID
4981506508
Professional Enrollment ID
I20190305000250
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for MISS SARAH JEAN RIEMERSMA (LMSW)

  • 40, Jefferson Avenue Southeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49503, United States

    GRAND RAPIDS, MI 495034304

    Phone: (616) 732-6391

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-03-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190305000250IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981506508View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerIA
P S Y C H I A T R YMI
Clinical PsychologistMI
-MI
Mental Health CounselorMI
Clinical Social WorkerNY
Clinical Social WorkerMI
Clinical PsychologistMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What unique ID ties claims to MISS SARAH JEAN RIEMERSMA (LMSW)?
NPI 1104076967 is assigned to MISS SARAH JEAN RIEMERSMA (LMSW) under the national enumeration system.
Is MISS SARAH JEAN RIEMERSMA (LMSW)'s NPI currently valid?
The extract we use shows MISS SARAH JEAN RIEMERSMA (LMSW) as active.
Does MISS SARAH JEAN RIEMERSMA (LMSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for MISS SARAH JEAN RIEMERSMA (LMSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for MISS SARAH JEAN RIEMERSMA (LMSW)?
The page summarizes Grand Rapids, Michigan for MISS SARAH JEAN RIEMERSMA (LMSW); expand the address list for detail.
Is MISS SARAH JEAN RIEMERSMA (LMSW) a real provider?
This page reflects official NPPES data for NPI 1104076967. Always confirm identity and privileges with the practice and licensing boards.

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