DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE JACKSON, LBSW, QMHP, QIDP

Active Sole Proprietor

STEPHANIE JACKSON, LBSW, QMHP, QIDP is a Social Worker healthcare provider located in LIVONIA, Michigan. NPI 1255713723 is currently active in the NPPES registry. Verify at CMS.

Social Worker · LIVONIA, MI

Registration Details

NPI Number
1255713723
Provider Type
Individual
Gender
Female
NPI Issued
Jun 22, 2015 (11.100863366923 yrs)
Last Updated
Jun 22, 2015
License
6802078258 (MI)
Sole Proprietor
Yes

Practice Information

Address
32229 SCHOOLCRAFT RD
LIVONIA, MI, 481504302
Browse MI providers · Browse ZIP 48150
Phone
7342617530
Fax
7342614192
Primary Specialty
Social Worker
104100000X

Other Social Worker Providers in LIVONIA, MI

Name Credential NPI
SUZANNE W JONES MSW 1548252158
MRS. NANCY DAHMS PETRIDES LMSW 1902869233
MS. JOAN L WEINBERG MSW LMSW 1114931672
MS. STEPHANIE CRANMER VELING MSW, LMSW, CAC 1 SAP 1225046295
LISA A SHAMIE MSW, LMSW 1144230426
HELEN KANTER 1942396254
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.