Individual provider · Type 1 NPI

Gaynella Jackson, LMSW

Clinical Social Worker · Southfield, MI

NPI number 1154445138 Active

Practice location

20700 Civic Center Dr, Suite 170
Southfield, MI 48076-4140

Call (248) 569-9846 Map

Fax (248) 569-1919

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801059515 (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 1154445138

Gaynella Jackson, LMSW's National Provider Identifier is 1154445138, issued on Mar 16, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southfield, MI. The record was last updated on Jul 9, 2007.