AMY JACKSON
NPI 1992188239
Social Worker in Grand Rapids, MI

Q: What is Amy Jackson's NPI number?

The NPI number for Amy Jackson is 1992188239. It was assigned to this individual provider in the NPPES registry on July 6, 2015. The provider is also known as Amy J Jackson Llmsw.

Q: What is Amy Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Jackson was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 06, 2015

721 N CENTER DR NW, GRAND RAPIDS, MI 49544(616) 301-8000 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2018, Oct 10, 2018 (2 updates tracked since 2018).

On this page

About Amy Jackson NPPES

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

AMY JACKSON (NPI 1992188239) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6801103335) and active in the NPI registry since July 2015. She maintains a secondary practice location in Kalamazoo.

NPPES Registry Identity

NPI1992188239

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameAMY JACKSON

Location Address721 N CENTER DR NWGrand Rapids, MI 49544-8215

Mailing Address1823 Francis Ave SeGrand Rapids, MI 49507-2418

Phone(616) 301-8000

Sole ProprietorNo

Enumeration DateJuly 6, 2015

Last NPPES UpdateNovember 8, 20182 updates tracked since enumeration

✔ NPI 1992188239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Licenses✔ Licensed in MI · 6801103335✔ Licensed in MI · 6802088547

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6801103335 (MI)

721 N CENTER DR NW, Grand Rapids, MI 49544

Open in Google Maps ↗

Other Names 1

Former Name (1)Amy J Jackson Llmsw

Secondary Practice Location 1

Location 1414 S Burdick St, Suite 200Kalamazoo, MI 49007-6219 · Phone (269) 615-1736

Other Identifiers 2

Other6802088547MI · Llbsw

Other6801103335MI · Limited License

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.

MR. MICHAEL SCOTT CHRISTY JR. B.S.

Counselor (Mental Health)