Individual provider · Type 1 NPI

Jack Bryant, LLMSW

Clinical Social Worker · Lansing, MI

NPI number 1063390243 Active

Practice location

812 E Jolly Rd Ste 210
Lansing, MI 48910-6825

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	6851119546 (MI)

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 1063390243

Jack Bryant, LLMSW's National Provider Identifier is 1063390243, issued on Aug 25, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lansing, MI. The record was last updated on Aug 25, 2025.