GLORIA JACKSON MSW
NPI 1205874369
Social Worker - Clinical in Detroit, MI

Q: What is Gloria Jackson's NPI number?

The NPI number for Gloria Jackson is 1205874369. It was assigned to this individual provider in the NPPES registry on June 2, 2006. The provider is also known as Gloria Jackson Acsw.

Q: What is Gloria Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gloria Jackson was last updated on July 8, 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.

Active since June 02, 2006

220 W CONGRESS ST FL 2, DETROIT, MI 48226(313) 963-4979(313) 963-4997 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Gloria Jackson Msw NPPES

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

GLORIA JACKSON MSW (NPI 1205874369) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6801019214) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1205874369

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameGLORIA JACKSONCredential: MSW

Location Address220 W CONGRESS ST FL 2Detroit, MI 48226-3289

Mailing Address220 W Congress St, 2nd FloorDetroit, MI 48226-3289 · (313) 963-4979 · Fax (313) 963-4997

Phone(313) 963-4979

Fax(313) 963-4997

Sole ProprietorYes

Enumeration DateJune 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1205874369 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 · 6801019214

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.

220 W CONGRESS ST FL 2, Detroit, MI 48226

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Other Names 1

Professional Name (2)Gloria Jackson Acsw

Other Providers at the Same Location NPPES 17

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

DOLUGE BEHAVIORAL SERVICES, PLLC

Social Worker (Clinical)