Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FLUARRY DWAYNE JACKSON JR., LLMSW
Active Sole ProprietorFLUARRY DWAYNE JACKSON JR., LLMSW is a Clinical Social Worker healthcare provider located in ALLENDALE, Michigan. NPI 1154968980 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · ALLENDALE, MI
Registration Details
- NPI Number
- 1154968980
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 27, 2019 (6.6913059624132 yrs)
- Last Updated
- Nov 27, 2019
- License
-
6801104924 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5068 W CAMPUS DR APT G25ALLENDALE, MI, 494018850Browse MI providers · Browse ZIP 49401
- Phone
- 2317403455
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in ALLENDALE, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. GINA MARIE MERRITT | LMSW | 1275751323 |
| MRS. LEIGH ANNA MILLER | LMSW | 1609186642 |
| MICHAEL ROBERT GOLDSMITH | LMSW | 1376847582 |
| CHRISTIE CUSTER | LMSW | 1225410764 |
| ALLISON WATSON | LMSW | 1376918664 |
| LAUREN ROUWHORST | — | 1992246284 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.