Individual provider · Type 1 NPI

Jatayvia Jaqae Jackson, LLMSW

Clinical Social Worker · Saginaw, MI

NPI number 1174012389 Active

Practice location

3253 Congress Ave
Saginaw, MI 48602-3106

Call (989) 475-4171 Map

Fax (989) 393-6021

Mailing address

32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454

Other practice locations

  • 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 · (248) 712-4266

Specialties and licenses

TaxonomyCodeLicense
Technician/Technologist 156F00000XNone listed
Clinical Social Worker Primary 1041C0700X6851115529 (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 1174012389

Jatayvia Jaqae Jackson, LLMSW's National Provider Identifier is 1174012389, issued on May 2, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Saginaw, MI. The record was last updated on Apr 8, 2023.