JACKIE STEPHAN LMSW
NPI 1275967952
Social Worker - Clinical in Southfield, MI

Q: What is Jackie Stephan's NPI number?

The NPI number for Jackie Stephan is 1275967952. It was assigned to this individual provider in the NPPES registry on August 29, 2013.

Q: What is Jackie Stephan'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 Jackie Stephan was last updated on February 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 August 29, 2013

15700 W 10 MILE RD STE 106, SOUTHFIELD, MI 48075(989) 225-4111(248) 575-4555 Get Directions Write a Review

NPPES record last updated: February 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jackie Stephan Lmsw NPPES

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

JACKIE STEPHAN LMSW (NPI 1275967952) is an individual clinical provider in Southfield, Michigan, licensed in Michigan (6801092663) and active in the NPI registry since August 2013. She maintains a secondary practice location in Southfield.

NPPES Registry Identity

NPI1275967952

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJACKIE STEPHANCredential: LMSW

Location Address15700 W 10 MILE RD STE 106Southfield, MI 48075

Mailing Address15700 W 10 Mile Rd Ste 106Southfield, MI 48075-2100 · (989) 225-4111 · Fax (248) 575-4555

Phone(989) 225-4111

Fax(248) 575-4555

Sole ProprietorNo

Enumeration DateAugust 29, 2013

Last NPPES UpdateFebruary 17, 2019

✔ NPI 1275967952 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 · 6801092663

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.

15700 W 10 MILE RD STE 106, Southfield, MI 48075

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Secondary Practice Location 1

Location 115700 W 10 Mile Rd Ste 106Southfield, MI 48075 · Phone (989) 225-4111 · Fax (248) 575-4555

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.

MR. JOSEPH ANTHONY-PORTO RADELL-REILLY LMSW

Social Worker (Clinical)