Individual provider · Type 1 NPI

Michelle Lynn Black, LLMSW

Clinical Social Worker · Jackson, MI

NPI number 1235580762 Active

Practice location

126 Seymour Ave
Jackson, MI 49202-3558

Call (517) 610-3873 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6851116477

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 1235580762

Michelle Lynn Black, LLMSW's National Provider Identifier is 1235580762, issued on Jun 27, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, MI. The record was last updated on Jul 20, 2026.