KALI MACKENZIE JACKSON-DIELEMAN LMSW-C, CAADC-DP
NPI 1386205029
Social Worker - Clinical in Grand Rapids, MI

Q: What is Kali Jackson-dieleman's NPI number?

The NPI number for Kali Jackson-dieleman is 1386205029. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Q: What is Kali Jackson-dieleman's specialty?

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

Active since June 24, 2019

3300 36TH ST SE, GRAND RAPIDS, MI 49512(616) 965-3355(616) 965-3460 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2025, Mar 6, 2020 (2 updates tracked since 2020).

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About Kali Mackenzie Jackson-dieleman Lmsw-c, Caadc-dp NPPES

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

KALI MACKENZIE JACKSON-DIELEMAN LMSW-C, CAADC-DP (NPI 1386205029) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801104938) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1386205029

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKALI MACKENZIE JACKSON-DIELEMANCredential: LMSW-C, CAADC-DP

Location Address3300 36TH ST SEGrand Rapids, MI 49512-2810

Mailing Address3300 36th St SeGrand Rapids, MI 49512-2810 · (269) 491-5777

Phone(616) 965-3355

Fax(616) 965-3460

Sole ProprietorNo

Enumeration DateJune 24, 2019

Last NPPES UpdateFebruary 23, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2026

✔ NPI 1386205029 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 · 6801104938

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.

3300 36TH ST SE, Grand Rapids, MI 49512

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.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.

DR. KATHERINE E. KUNNEN DNP, FNP-C, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)