MS. MICHELLE MARIE JACK LCSW
NPI 1386043503
Social Worker - Clinical in San Diego, CA

Active since August 14, 2014
409 CAMINO DEL RIO S STE 201, SAN DIEGO, CA 92108(619) 813-9184 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ms. Michelle Marie Jack Lcsw NPPES

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

MS. MICHELLE MARIE JACK LCSW (NPI 1386043503) is an individual clinical provider in San Diego, California, licensed in California (LCSW96801) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1386043503
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MICHELLE MARIE JACKCredential: LCSW
Location Address409 CAMINO DEL RIO S STE 201San Diego, CA 92108-3505
Mailing Address409 Camino Del Rio S Ste 201San Diego, CA 92108-3505 · (619) 813-9184
Sole ProprietorNo
Enumeration DateAugust 14, 2014
Last NPPES UpdateFebruary 17, 2022
NPPES CertifiedFebruary 17, 2022
NPI 1386043503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · LCSW96801
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
409 CAMINO DEL RIO S STE 201, San Diego, CA 92108

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.

Student in an Organized Health Care Education/Training Program
409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
Social Worker (Clinical)
409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
Marriage & Family Therapist
409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
Marriage & Family Therapist
409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
Marriage & Family Therapist
409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
Social Worker (Clinical)
409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
Counselor (Professional)
409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
Student in an Organized Health Care Education/Training Program
409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108

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 Michelle Jack's NPI number?

The NPI number for Michelle Jack is 1386043503. It was assigned to this individual provider in the NPPES registry on August 14, 2014.

Where is Michelle Jack located?

Michelle Jack practices at 409 Camino Del Rio S Ste 201, San Diego, CA 92108. The listed phone number is (619) 813-9184.

What is Michelle Jack's specialty?

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

When was this NPI record last updated?

The NPPES record for Michelle Jack was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.