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

NPI Status: Active since March 16, 2007

Contact Information

20700 CIVIC CENTER DR
SUITE 170
SOUTHFIELD, MI
ZIP 48076
Phone: (248) 569-9846
Fax: (248) 569-1919

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  • Individual
  • Female
  • Social Worker
  • Clinical
  • Accepts Insurance

About GAYNELLA JACKSON

This page provides the complete NPI Profile along with additional information for Gaynella Jackson, a provider established in Southfield, Michigan with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1154445138 assigned on March 2007. The practitioner's primary taxonomy code is 1041C0700X with license number 6801059515 (MI). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1154445138
Provider Name
MS. GAYNELLA JACKSON LMSW
Gender
Female
Entity Type
Individual
Location Address
20700 CIVIC CENTER DR SUITE 170 SOUTHFIELD, MI 48076
Location Phone
(248) 569-9846
Location Fax
(248) 569-1919
Mailing Address
20700 CIVIC CENTER DR SUITE 170 SOUTHFIELD, MI 48076
Mailing Phone
(248) 569-9846
Mailing Fax
(248) 569-1919
Is Sole Proprietor?
Yes
Enumeration Date
03-16-2007
Last Update Date
07-09-2007
Code Navigator

A clinical social worker like Gaynella 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.

Location Map

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.
6801059515
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
80-0-89-6833-0OTHER (01)MIBLUE CROSS BLUE SHIELD OF
ON74200MEDICARE PIN (08)MI 

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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 1154445138, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
8
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 5 → 10 → 1 4 → 8 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 8 + 4 + 1 + 0 + 1 + 6 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1154445138.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Social Worker (Clinical)
20700 CIVIC CENTER DR, SUITE 170
SOUTHFIELD, MI 48076
Community/Behavioral Health
20700 CIVIC CENTER DR, 170
SOUTHFIELD, MI 48076
Durable Medical Equipment & Medical Supplies
20700 CIVIC CENTER DR, SUITE 170
SOUTHFIELD, MI 48076
Social Worker (Clinical)
20700 CIVIC CENTER DR, SUITE 170
SOUTHFIELD, MI 48076
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154445138, enumerated as an "individual" on March 16, 2007.

The provider is located at 20700 CIVIC CENTER DR SUITE 170 SOUTHFIELD, MI 48076 and the phone number is (248) 569-9846.

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

The provider might be accepting Accepts: Providence Health Plan, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.