GLORIA JACKSON
NPI 1104915503
Social Worker - Clinical in Detroit, MI

NPI Status: Active since October 12, 2006

Contact Information

220 W CONGRESS ST FL 2
DETROIT, MI
ZIP 48226
Phone: (313) 963-4979
Fax: (313) 963-4997

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  • Organization
  • Social Worker
  • Clinical

About GLORIA JACKSON

This page provides the complete NPI Profile along with additional information for Gloria Jackson, a provider established in Detroit, Michigan operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1104915503 assigned on October 2006. The practitioner's primary taxonomy code is 1041C0700X with license number 6801019214 (MI). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Gloria Jackson. The authorized official of this NPI record is Ms. Gloria Jackson Lmsw, Acsw, Bcd (Ceo)

NPI
1104915503
Provider Legal Name
DOLUGE BEHAVIORAL SERVICES, PLLC
Other Organization Name
GLORIA JACKSON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
220 W CONGRESS ST FL 2 DETROIT, MI 48226
Location Phone
(313) 963-4979
Location Fax
(313) 963-4997
Mailing Address
220 W CONGRESS ST FL 2 DETROIT, MI 48226
Mailing Phone
(313) 963-4979
Mailing Fax
(313) 963-4997
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-12-2006
Last Update Date
08-22-2020
Code Navigator

A clinical social worker like Gloria Jackson is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
6801019214
License State
MI
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. GLORIA JACKSON LMSW, ACSW, BCD

Authorized Official Title
CEO
Authorized Official Phone
(313) 963-7949

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104915503, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 8 + 1 + 1 + 0 + 5 + 0 + 24 = 47

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1104915503.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Social Worker (Clinical)
220 W CONGRESS ST FL 2
DETROIT, MI 48226
Clinic/Center (Adolescent and Children Mental Health)
220 W CONGRESS ST FL 2
DETROIT, MI 48226
Dentist
220 W CONGRESS ST FL 2
DETROIT, MI 48226
Nurse Practitioner (Primary Care)
220 W CONGRESS ST FL 2
DETROIT, MI 48226
Home Health
220 W CONGRESS ST FL 2
DETROIT, MI 48226
Non-emergency Medical Transport (VAN)
220 W CONGRESS ST FL 2
DETROIT, MI 48226
Home Health Aide
220 W CONGRESS ST FL 2
DETROIT, MI 48226
Nurse Practitioner (Psychiatric/Mental Health)
220 W CONGRESS ST FL 2
DETROIT, MI 48226
Behavior Analyst
220 W CONGRESS ST FL 2, #873
DETROIT, MI 48226
Dentist (General Practice)
220 W CONGRESS ST FL 2
DETROIT, MI 48226
Home Health
220 W CONGRESS ST FL 2
DETROIT, MI 48226
Case Manager/Care Coordinator
220 W CONGRESS ST FL 2
DETROIT, MI 48226
Home Health
220 W CONGRESS ST FL 2
DETROIT, MI 48226

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104915503, enumerated as an "organization" on October 12, 2006.

The provider is located at 220 W CONGRESS ST FL 2 DETROIT, MI 48226 and the phone number is (313) 963-4979.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.