Individual provider · Type 1 NPI

Myles Jackson

Clinical Social Worker · Detroit, MI

NPI number 1184093932 Active

Practice location

4646 John R St
Detroit, MI 48201-1916

Call (313) 576-1000 Map

Mailing address

10 Peterboro St
Detroit, MI 48201-2722

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700X6801119291 (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 1184093932

Myles Jackson's National Provider Identifier is 1184093932, issued on Sep 23, 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 Jul 10, 2025.