Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DOMINIQUE JACKSON
NPI 1538629639
Social Worker in Grand Rapids, MI

Q: What is Dominique Jackson's NPI number?

The NPI number for Dominique Jackson is 1538629639. It was assigned to this individual provider in the NPPES registry on March 23, 2019.

Q: What is Dominique Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Dominique Jackson was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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 March 23, 2019

100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 391-1675 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2026, Mar 23, 2019 (2 updates tracked since 2019).

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About Dominique Jackson NPPES

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

DOMINIQUE JACKSON (NPI 1538629639) is an individual social worker in Grand Rapids, Michigan and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1538629639

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameDOMINIQUE JACKSON

Location Address100 MICHIGAN ST NEGrand Rapids, MI 49503-2560

Mailing Address100 Michigan St NeGrand Rapids, MI 49503-2560

Phone(616) 391-1675

Sole ProprietorNo

Enumeration DateMarch 23, 2019

Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration

NPPES CertifiedJuly 28, 2026

✔ NPI 1538629639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

100 MICHIGAN ST NE, Grand Rapids, MI 49503

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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.

MAUREEN TAN PEDRES M.D.

Internal Medicine

100 MICHIGAN ST NE, SUITE A721
GRAND RAPIDS, MI 49503

Kent County (616) 391-3139

MATTHEW H ARMSTRONG MD

Anesthesiology

100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 391-1510

ALINE DE QUADROS TEIXEIRA MD

Internal Medicine

100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 391-3139

DR. LINDSEY DANIELLE CONRADO PT, DPT

Physical Therapist

100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (161) 639-1177

DANIEL H. ROBINSON D.O.

Anesthesiology

100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 391-1510

MARK GREENWOOD DO

Emergency Medicine

100 MICHIGAN ST NE, MC 71
GRAND RAPIDS, MI 49503

Kent County (616) 391-5310

RAYMOND SCUREK MD

Emergency Medicine

100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 391-1680

MRS. RACHEL LEIGH VANSTRIEN PA-C

Physician Assistant

100 MICHIGAN ST NE, SUITE 8861
GRAND RAPIDS, MI 49503

Kent County (616) 391-0800

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 Dominique Jackson's NPI number?

The NPI number for Dominique Jackson is 1538629639. It was assigned to this individual provider in the NPPES registry on March 23, 2019.

Where is Dominique Jackson located?

Dominique Jackson practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 391-1675.

What is Dominique Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Dominique Jackson was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.