Individual provider · Type 1 NPI

Jacqueline Nicole Kisse

Clinical Social Worker · Inkster, MI

NPI number 1861840571 Active

Practice location

30000 Hiveley Road
Inkster, MI 48141

Call (734) 728-3400 Map

Mailing address

1840 Old Town Ave
West Bloomfield, MI 48324

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	6801099406 (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 1861840571

Jacqueline Nicole Kisse's National Provider Identifier is 1861840571, issued on Jun 3, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Inkster, MI. The record was last updated on Jun 3, 2016.