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MICHELLE D JACK LCSW
NPI 1558754945
Social Worker - Clinical in Grand Island, NE

Active since March 10, 2015
914 BAUMANN DR, GRAND ISLAND, NE 68803(308) 385-5250(308) 385-5271 Get Directions Write a Review

NPPES record last updated: March 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michelle D Jack Lcsw NPPES

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

MICHELLE D JACK LCSW (NPI 1558754945) is an individual clinical provider in Grand Island, Nebraska, licensed in Nebraska (657) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1558754945
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHELLE D JACKCredential: LCSW
Location Address914 BAUMANN DRGrand Island, NE 68803-4401
Mailing Address914 Baumann DrGrand Island, NE 68803-4401 · (308) 385-5250 · Fax (308) 385-5271
Phone(308) 385-5250
Fax(308) 385-5271
Sole ProprietorNo
Enumeration DateMarch 10, 2015
✔ NPI 1558754945 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 NE · 657
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 · ProfessionalTaxonomy 101YP2500X · License 1164 (NE)
914 BAUMANN DR, Grand Island, NE 68803
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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.

MS. KARA N KLINGINSMITH LMHP
Counselor (Professional)
914 BAUMANN DR
GRAND ISLAND, NE 68803
Hall County (308) 385-5252
LISA BLAIN PLMHP
Counselor (Mental Health)
914 BAUMANN DR
GRAND ISLAND, NE 68803
Hall County (308) 385-5250
JOSHUA AUGUSTIN
Counselor (Mental Health)
914 BAUMANN DR
GRAND ISLAND, NE 68803
Hall County (308) 385-5250
JENNIFER PATRICIA CAMMON-LARSON PLMHP
Counselor (Mental Health)
914 BAUMANN DR
GRAND ISLAND, NE 68803
Hall County (308) 385-5250
ANTHONY ALLEN VERONEE JR.
Counselor
914 BAUMANN DR
GRAND ISLAND, NE 68803
Hall County (308) 385-5250
STEPHANIE A. SAYLOR PLMHP
Counselor (Mental Health)
914 BAUMANN DR
GRAND ISLAND, NE 68803
Hall County (308) 385-5250
MR. THOMAS EDWARD COOK LMHP, CMSW
Counselor (Mental Health)
914 BAUMANN DR
GRAND ISLAND, NE 68803
Hall County (308) 385-5252
BERNARD DAVID HASCALL MS
Counselor (Mental Health)
914 BAUMANN DR
GRAND ISLAND, NE 68803
Hall County (308) 385-5250

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 1558754945. It was assigned to this individual provider in the NPPES registry on March 10, 2015.

Where is Michelle Jack located?

Michelle Jack practices at 914 Baumann Dr, Grand Island, NE 68803. The listed phone number is (308) 385-5250.

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 March 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.