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BRYAN MICHAEL JACKSON
NPI 1750166435
Social Worker - Clinical in Holland, MI

Active since August 30, 2023
170 COLLEGE AVE STE 310, HOLLAND, MI 49423(616) 426-9034 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bryan Michael Jackson NPPES

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

BRYAN MICHAEL JACKSON (NPI 1750166435) is an individual clinical provider in Holland, Michigan, licensed in Michigan (6851117238) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1750166435
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBRYAN MICHAEL JACKSON
Location Address170 COLLEGE AVE STE 310Holland, MI 49423-2982
Mailing Address170 College Ave Ste 310Holland, MI 49423-2982
Phone(616) 426-9034
Sole ProprietorYes
Enumeration DateAugust 30, 2023
NPPES CertifiedAugust 26, 2023
✔ NPI 1750166435 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 · 6851117238
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.
170 COLLEGE AVE STE 310, Holland, MI 49423
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALYA BUSSCHER
Counselor (Professional)
170 COLLEGE AVE STE 310
HOLLAND, MI 49423
Allegan County (616) 426-9034
MRS. ELINEKE VANDERHAM MA, LLC
Counselor (Mental Health)
170 COLLEGE AVE STE 310
HOLLAND, MI 49423
Allegan County (616) 426-9034
LAUREL RAE BACKING LLPC
Counselor
170 COLLEGE AVE STE 310
HOLLAND, MI 49423
Allegan County (616) 426-9034
GRACE THOMPSON MDIV, LLMSW
Social Worker (Clinical)
170 COLLEGE AVE STE 310
HOLLAND, MI 49423
Allegan County (616) 426-9034
RACHEL LYNN KYLE MA, LLPC
Counselor (Professional)
170 COLLEGE AVE STE 310
HOLLAND, MI 49423
Allegan County (616) 426-9034
SARAH BETH EGBERT MA, LLC, LSC
Counselor (Mental Health)
170 COLLEGE AVE STE 310
HOLLAND, MI 49423
Allegan County (616) 426-9034
SELENA LYNN METCALF-WRIGHT MA
Counselor
170 COLLEGE AVE STE 310
HOLLAND, MI 49423
Allegan County (616) 426-9034
TAYLOR LAHAIE LLC
Counselor (Mental Health)
170 COLLEGE AVE STE 310
HOLLAND, MI 49423
Allegan County (616) 426-9034

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 Bryan Jackson's NPI number?

The NPI number for Bryan Jackson is 1750166435. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Where is Bryan Jackson located?

Bryan Jackson practices at 170 College Ave Ste 310, Holland, MI 49423. The listed phone number is (616) 426-9034.

What is Bryan 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 Bryan Jackson was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.