MRS. NICOLE VANESSA JACKSON LMSW
NPI 1841420346
Social Worker - Clinical in Livonia, MI

Active since July 17, 2009
39293 PLYMOUTH RD, STE 109A, LIVONIA, MI 48150(734) 521-6579(734) 943-6321 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2022, Dec 12, 2016, Nov 16, 2016 (3 updates tracked since 2016).

About Mrs. Nicole Vanessa Jackson Lmsw NPPES

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

MRS. NICOLE VANESSA JACKSON LMSW (NPI 1841420346) is an individual clinical provider in Livonia, Michigan, licensed in Michigan (6801089011) and active in the NPI registry since July 2009. She maintains a secondary practice location in Lincoln Park.

NPPES Registry Identity

NPI1841420346
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. NICOLE VANESSA JACKSONCredential: LMSW
Location Address39293 PLYMOUTH RD, STE 109ALivonia, MI 48150-1060
Mailing Address39293 Plymouth Rd, Suite 109aLivonia, MI 48150-1060 · (734) 521-6579
Fax(734) 943-6321
Sole ProprietorYes
Enumeration DateJuly 17, 2009
Last NPPES UpdateJuly 11, 20223 updates tracked since enumeration
NPPES CertifiedJuly 11, 2022
NPI 1841420346 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 · 6801089011
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.
39293 PLYMOUTH RD, Livonia, MI 48150

Other Names 1

Former Name (1)Mrs. Nicole Vanessa Vaughn Lmsw

Secondary Practice Location 1

Location 126300 Outer DrLincoln Park, MI 48146-2019 · Phone (313) 388-4630

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Community/Behavioral Health
39293 PLYMOUTH RD, SUITE 109A
LIVONIA, MI 48150
Social Worker (Clinical)
39293 PLYMOUTH RD
LIVONIA, MI 48150
Home Health
39293 PLYMOUTH RD, SUITE 105
LIVONIA, MI 48150
Social Worker (Clinical)
39293 PLYMOUTH RD, 110
LIVONIA, MI 48150
Home Health
39293 PLYMOUTH RD, SUITE 104
LIVONIA, MI 48150
Social Worker (Clinical)
39293 PLYMOUTH RD, SUITE 110
LIVONIA, MI 48150

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 Nicole Jackson's NPI number?

The NPI number for Nicole Jackson is 1841420346. It was assigned to this individual provider in the NPPES registry on July 17, 2009. The provider is also known as Mrs. Nicole Vanessa Vaughn Lmsw.

Where is Nicole Jackson located?

Nicole Jackson practices at 39293 Plymouth Rd Ste 109A, Livonia, MI 48150. The listed phone number is (734) 521-6579.

What is Nicole Jackson's specialty?

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

What insurance does Nicole Jackson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and Providence Health Plan list Nicole 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 Nicole Jackson was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.