Individual provider · Type 1 NPI

Keith Poole

Clinical Social Worker · Jackson, MI

NPI number 1053219212 Active

Practice location

419 4th St
Jackson, MI 49201-2059

Mailing address

2517 E Mount Hope Ave Ste 12
Lansing, MI 48910-1924

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1053219212

Keith Poole's National Provider Identifier is 1053219212, issued on Oct 28, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, MI. The record was last updated on Oct 30, 2026.