1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Social Worker
  6. NPI Profile

JACQUELYN L. WISE LLMSW
NPI 1124519640
Social Worker in Detroit, MI

Active since May 21, 2018
79 W ALEXANDRINE ST, DETROIT, MI 48201(313) 831-5535 Get Directions Write a Review

NPPES record last updated: May 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacquelyn L. Wise Llmsw NPPES

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

JACQUELYN L. WISE LLMSW (NPI 1124519640) is an individual social worker in Detroit, Michigan, licensed in Michigan (6801102246) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1124519640
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJACQUELYN L. WISECredential: LLMSW
Location Address79 W ALEXANDRINE STDetroit, MI 48201-2015
Mailing Address79 W Alexandrine St # Mi48201Detroit, MI 48201-2015 · (313) 831-5535 · Fax (313) 831-2608
Phone(313) 831-5535
Sole ProprietorNo
Enumeration DateMay 21, 2018
✔ NPI 1124519640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MI · 6801102246
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6801102246 (MI)
79 W ALEXANDRINE ST, Detroit, MI 48201
Open in Google Maps ↗

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.

LEAH WELTON MSW
Social Worker (Clinical)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
MS. EMILY FRANCES TROYER LPC
Counselor (Professional)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
ROJET MORROW LLMSW,CMHP
Social Worker (Clinical)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
ANGELA ORR
Behavior Technician
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
LORETTA BANTOM
Counselor (Professional)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
LINDA HENDERSON
Specialist
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
CIARA COX
Behavior Technician
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-2008
THE CHILDREN'S CENTER OF WAYNE CO., INC.
Psychologist (Clinical Child & Adolescent)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 262-0951

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 Jacquelyn Wise's NPI number?

The NPI number for Jacquelyn Wise is 1124519640. It was assigned to this individual provider in the NPPES registry on May 21, 2018.

Where is Jacquelyn Wise located?

Jacquelyn Wise practices at 79 W Alexandrine St, Detroit, MI 48201. The listed phone number is (313) 831-5535.

What is Jacquelyn Wise's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Wise was last updated on May 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.