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MS. GAYNELLA JACKSON LMSW
NPI 1154445138
Social Worker - Clinical in Southfield, MI

Active since March 16, 2007
20700 CIVIC CENTER DR, SUITE 170, SOUTHFIELD, MI 48076(248) 569-9846(248) 569-1919 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Gaynella Jackson Lmsw NPPES

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

MS. GAYNELLA JACKSON LMSW (NPI 1154445138) is an individual clinical provider in Southfield, Michigan, licensed in Michigan (6801059515) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1154445138
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. GAYNELLA JACKSONCredential: LMSW
Location Address20700 CIVIC CENTER DR, SUITE 170Southfield, MI 48076-4140
Mailing Address20700 Civic Center Dr, Suite 170Southfield, MI 48076-4140 · (248) 569-9846 · Fax (248) 569-1919
Phone(248) 569-9846
Fax(248) 569-1919
Sole ProprietorYes
Enumeration DateMarch 16, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1154445138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801059515
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.
20700 CIVIC CENTER DR, Southfield, MI 48076
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Other Identifiers 2

Other80-0-89-6833-0MI · Blue Cross Blue Shield Of
Medicare PINON74200MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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.

CHARMICKA ROBINSON
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Oakland County (800) 385-1035
JOURDAN JAMES MAY
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Oakland County (800) 385-1035
NATACHA PLACIDE
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Oakland County (800) 385-1035
MEGHAN NATALIE LAFFERTY
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Oakland County (313) 228-6102
JEWELL BUSH
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Oakland County (800) 385-1035
ALEXANDER ANTHONY MESIC
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Oakland County (800) 385-1035
TEEBA ALAA BILAL I
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Oakland County (800) 385-1035
JAYLA MONET HEARST
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Oakland County (800) 385-1035

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 Gaynella Jackson's NPI number?

The NPI number for Gaynella Jackson is 1154445138. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Gaynella Jackson located?

Gaynella Jackson practices at 20700 Civic Center Dr Suite 170, Southfield, MI 48076. The listed phone number is (248) 569-9846.

What is Gaynella Jackson's specialty?

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

What insurance does Gaynella Jackson accept?

Health plans from Providence Health Plan list Gaynella Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gaynella Jackson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.