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KELLY LYNNE JACKSON LLMSW
NPI 1659993251
Social Worker - Clinical in Waterford, MI

Active since May 18, 2020
1255 N OAKLAND BLVD, WATERFORD, MI 48327(248) 599-8999 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2022, May 18, 2020 (2 updates tracked since 2020).

About Kelly Lynne Jackson Llmsw NPPES

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

KELLY LYNNE JACKSON LLMSW (NPI 1659993251) is an individual clinical provider in Waterford, Michigan and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1659993251
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY LYNNE JACKSONCredential: LLMSW
Location Address1255 N OAKLAND BLVDWaterford, MI 48327-1545
Mailing Address27732 Moran StHarrison Township, MI 48045-2929 · (561) 506-8977
Phone(248) 599-8999
Sole ProprietorNo
Enumeration DateMay 18, 2020
Last NPPES UpdateNovember 1, 20222 updates tracked since enumeration
NPPES CertifiedNovember 1, 2022
✔ NPI 1659993251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1255 N OAKLAND BLVD, Waterford, MI 48327
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Other Names 1

Former Name (1)Kelly Lynne Ott

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.

COMMUNITY PROGRAMS INC.
Substance Abuse Rehabilitation Facility
1255 N OAKLAND BLVD
WATERFORD, MI 48327
Oakland County (248) 599-8999
ANGELITA RENEE TORRES
Counselor (Addiction (Substance Use Disorder))
1255 N OAKLAND BLVD
WATERFORD, MI 48327
Oakland County (248) 599-8999
MRS. JENNIFER MILZ BURKE P.T.
Physical Therapist
1255 N OAKLAND BLVD, SUITE 145
WATERFORD, MI 48327
Oakland County (248) 666-3329
SHAWN GRAHAM LPC
Counselor (Mental Health)
1255 N OAKLAND BLVD
WATERFORD, MI 48327
Oakland County (248) 406-0090
KIMBERLY ANN FERNS LLPC, DP-C
Counselor (Addiction (Substance Use Disorder))
1255 N OAKLAND BLVD
WATERFORD, MI 48327
Oakland County (248) 599-8999
JANE ELIZABETH LEIPOLD DIKA
Counselor (Mental Health)
1255 N OAKLAND BLVD
WATERFORD, MI 48327
Oakland County (248) 406-0090
ERIN MITCHELL
Community Health Worker
1255 N OAKLAND BLVD
WATERFORD, MI 48327
Oakland County (248) 406-0090
PEGGY OTTERSTETTER FNP
Nurse Practitioner (Family)
1255 N OAKLAND BLVD
WATERFORD, MI 48327
Oakland County (248) 406-0900

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 Kelly Jackson's NPI number?

The NPI number for Kelly Jackson is 1659993251. It was assigned to this individual provider in the NPPES registry on May 18, 2020. The provider is also known as Kelly Lynne Ott.

Where is Kelly Jackson located?

Kelly Jackson practices at 1255 N Oakland Blvd, Waterford, MI 48327. The listed phone number is (248) 599-8999.

What is Kelly Jackson'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 Kelly Jackson was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.