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JACQUELINE NICOLE KISSE
NPI 1861840571
Social Worker - Clinical in Inkster, MI

Active since June 03, 2016
30000 HIVELEY ROAD, INKSTER, MI 48141(734) 728-3400 Get Directions Write a Review

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Nicole Kisse NPPES

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

JACQUELINE NICOLE KISSE (NPI 1861840571) is an individual clinical provider in Inkster, Michigan, licensed in Michigan (6801099406) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1861840571
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELINE NICOLE KISSE
Location Address30000 HIVELEY ROADInkster, MI 48141
Mailing Address1840 Old Town AveWest Bloomfield, MI 48324 · (248) 285-2345
Phone(734) 728-3400
Sole ProprietorNo
Enumeration DateJune 3, 2016
✔ NPI 1861840571 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 · 6801099406
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.
30000 HIVELEY ROAD, Inkster, MI 48141
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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 Jacqueline Kisse's NPI number?

The NPI number for Jacqueline Kisse is 1861840571. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Where is Jacqueline Kisse located?

Jacqueline Kisse practices at 30000 Hiveley Road, Inkster, MI 48141. The listed phone number is (734) 728-3400.

What is Jacqueline Kisse'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 Jacqueline Kisse was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.