Individual provider · Type 1 NPI

Kimberly Ann Jackson, LMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1750492336 Active

Practice location

781 36th St SE
Grand Rapids, MI 49548-2319

Call (616) 248-5272 Map

Fax (616) 243-2302

Mailing address

1505 Spencer St NE
Grand Rapids, MI 49505-5530

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801086964 (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 1750492336

Kimberly Ann Jackson, LMSW's National Provider Identifier is 1750492336, issued on Aug 31, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 15, 2008.