MICHAEL JACKSON LMSW
NPI 1063809846
Social Worker - Clinical in Detroit, MI

Active since April 20, 2015
707 W MILWAUKEE ST, DETROIT, MI 48202(334) 233-2391 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Jackson Lmsw NPPES

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

MICHAEL JACKSON LMSW (NPI 1063809846) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6801110122) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1063809846
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICHAEL JACKSONCredential: LMSW
Location Address707 W MILWAUKEE STDetroit, MI 48202-2943
Mailing Address13101 Allen RdSouthgate, MI 48195-2216 · (334) 233-2391
Sole ProprietorNo
Enumeration DateApril 20, 2015
Last NPPES UpdateOctober 25, 2021
NPPES CertifiedJanuary 26, 2021
NPI 1063809846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801110122
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.
Also ListedSocial WorkerTaxonomy 104100000X · License M286754 (MI)
Also ListedTechnician, OtherTaxonomy 247200000X
707 W MILWAUKEE ST, Detroit, MI 48202

Other Providers at the Same Location NPPES 20

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

Behavior Technician
707 W MILWAUKEE ST
DETROIT, MI 48202
Peer Specialist
707 W MILWAUKEE ST
DETROIT, MI 48202
Psychologist (Cognitive & Behavioral)
707 W MILWAUKEE ST
DETROIT, MI 48202
Social Worker (Clinical)
707 W MILWAUKEE ST
DETROIT, MI 48202
Peer Specialist
707 W MILWAUKEE ST
DETROIT, MI 48202
Social Worker (Clinical)
707 W MILWAUKEE ST
DETROIT, MI 48202
Psychologist
707 W MILWAUKEE ST
DETROIT, MI 48202
Registered Nurse
707 W MILWAUKEE ST
DETROIT, MI 48202

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 Michael Jackson's NPI number?

The NPI number for Michael Jackson is 1063809846. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Michael Jackson located?

Michael Jackson practices at 707 W Milwaukee St, Detroit, MI 48202. The listed phone number is (334) 233-2391.

What is Michael Jackson'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 Michael Jackson was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.