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MR. DERRICK JEROME JACKSON LLMSW
NPI 1588928626
Social Worker - Clinical in Pontiac, MI

Active since July 03, 2012
114 ORCHARD LAKE RD, PONTIAC, MI 48341(248) 858-7766(248) 858-7112 Get Directions Write a Review

NPPES record last updated: July 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Derrick Jerome Jackson Llmsw NPPES

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

MR. DERRICK JEROME JACKSON LLMSW (NPI 1588928626) is an individual clinical provider in Pontiac, Michigan, licensed in Michigan (6801094410) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1588928626
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DERRICK JEROME JACKSONCredential: LLMSW
Location Address114 ORCHARD LAKE RDPontiac, MI 48341-2244
Mailing Address114 Orchard Lake RdPontiac, MI 48341-2244 · (248) 858-7766 · Fax (248) 858-7112
Phone(248) 858-7766
Fax(248) 858-7112
Sole ProprietorNo
Enumeration DateJuly 3, 2012
✔ NPI 1588928626 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 · 6801094410
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.
114 ORCHARD LAKE RD, Pontiac, MI 48341
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community.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.

MR. PHILLIP JAY ROSENBAUM
Counselor (School)
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 624-3812
NINA SQUILLACE
Social Worker
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 858-7766
ALISSA DRISCOLL JACOBS
Social Worker (School)
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 858-7766
MICHELLE BOWDEN LMSW
Counselor
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 858-7766
CYNTHIA LOUISE FARLIN MA, LPC, NCC
Counselor (Professional)
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 858-7766
TARYN REEVE KOURY LLMSW
Social Worker (Clinical)
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 858-7766
MS. ELLEN MAUREEN CUSHING BA
Social Worker (School)
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 858-7766
OAKLAND FAMILY SERVICES
Community/Behavioral Health
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 858-7766

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 Derrick Jackson's NPI number?

The NPI number for Derrick Jackson is 1588928626. It was assigned to this individual provider in the NPPES registry on July 3, 2012.

Where is Derrick Jackson located?

Derrick Jackson practices at 114 Orchard Lake Rd, Pontiac, MI 48341. The listed phone number is (248) 858-7766.

What is Derrick Jackson's specialty?

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

What insurance does Derrick Jackson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and McLaren Health Plan Community list Derrick Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derrick Jackson was last updated on July 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.