Individual provider · Type 1 NPI

Michael Jackson, LMSW

Clinical Social Worker · Detroit, MI

NPI number 1063809846 Active

Practice location

707 W Milwaukee St
Detroit, MI 48202-2943

Call (334) 233-2391 Map

Mailing address

13101 Allen Rd
Southgate, MI 48195-2216

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XM286754 (MI)
Other Technician 247200000XNone listed
Clinical Social Worker Primary 1041C0700X6801110122 (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 1063809846

Michael Jackson, LMSW's National Provider Identifier is 1063809846, issued on Apr 20, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Oct 25, 2021.