Individual provider · Type 1 NPI

Kelly Lynne Jackson, LMSW

Clinical Social Worker · Howell, MI

NPI number 1659993251 Active

Practice location

10079 Bergin Rd
Howell, MI 48843-7049

Mailing address

2629 Pine Grove Rd
Olympia, KY 40358-8549

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801122709 (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 1659993251

Kelly Lynne Jackson, LMSW's National Provider Identifier is 1659993251, issued on May 18, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Howell, MI. The record was last updated on Aug 26, 2026.