Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KEITH POOLE
NPI 1053219212
Social Worker - Clinical in Jackson, MI

Active since October 28, 2026

NPPES record added: October 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Keith Poole NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH POOLE (NPI 1053219212) is an individual clinical provider in Jackson, Michigan and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1053219212
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEITH POOLE
Location Address419 4TH STJackson, MI 49201-2059
Mailing Address2517 E Mount Hope Ave Ste 12Lansing, MI 48910-1924 · (517) 709-8311
Sole ProprietorNo
Enumeration DateOctober 28, 2026
Last NPPES UpdateOctober 30, 2026
NPPES CertifiedOctober 30, 2026
✔ NPI 1053219212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
419 4TH ST, Jackson, MI 49201

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
419 4TH ST
JACKSON, MI 49201
Counselor (Mental Health)
419 4TH ST
JACKSON, MI 49201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Poole's NPI number?

The NPI number for Keith Poole is 1053219212. It was assigned to this individual provider in the NPPES registry on October 28, 2026.

Where is Keith Poole located?

Keith Poole practices at 419 4th St, Jackson, MI 49201. The listed phone number is (517) 709-8311.

What is Keith Poole's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Keith Poole was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.