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JACKSON INNOVATIONS PLLC
NPI 1750405734
Social Worker - Clinical in Southfield, MI

Active since March 16, 2007
20700 CIVIC CENTER DR, SUITE 170, SOUTHFIELD, MI 48076(248) 569-9846(248) 569-1919 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Innovations Pllc NPPES

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

JACKSON INNOVATIONS PLLC (NPI 1750405734) is a healthcare organization registered as a clinical in Southfield, Michigan and active in the NPI registry since March 2007. The organization lists Gaynella Jackson, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1750405734
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameJACKSON INNOVATIONS PLLC
Location Address20700 CIVIC CENTER DR, SUITE 170Southfield, MI 48076-4140
Mailing Address20700 Civic Center Dr, Suite 170Southfield, MI 48076-4140 · (248) 569-9846 · Fax (248) 569-1919
Phone(248) 569-9846
Fax(248) 569-1919
Organization SubpartNo
Authorized OfficialGaynella JacksonClinical Director · (248) 569-9846
Enumeration DateMarch 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1750405734 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 · 6801059515
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.
20700 CIVIC CENTER DR, Southfield, MI 48076
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

CHARMICKA ROBINSON
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Oakland County (800) 385-1035
JOURDAN JAMES MAY
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Oakland County (800) 385-1035
NATACHA PLACIDE
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Oakland County (800) 385-1035
MEGHAN NATALIE LAFFERTY
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Oakland County (313) 228-6102
MS. GAYNELLA JACKSON LMSW
Social Worker (Clinical)
20700 CIVIC CENTER DR, SUITE 170
SOUTHFIELD, MI 48076
Oakland County (248) 569-9846
JEWELL BUSH
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Oakland County (800) 385-1035
ALEXANDER ANTHONY MESIC
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Oakland County (800) 385-1035
TEEBA ALAA BILAL I
Behavior Technician
20700 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Oakland County (800) 385-1035

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 Jackson Innovations PLLC's NPI number?

The NPI number for Jackson Innovations PLLC is 1750405734. It was assigned to this organization in the NPPES registry on March 16, 2007.

Where is Jackson Innovations PLLC located?

Jackson Innovations PLLC is located at 20700 Civic Center Dr Suite 170, Southfield, MI 48076. The listed phone number is (248) 569-9846.

What is Jackson Innovations PLLC'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 Jackson Innovations PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.