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

MICHELLE D JACK, LCSW

Active

MICHELLE D JACK, LCSW is a Clinical Social Worker healthcare provider located in GRAND ISLAND, Nebraska. NPI 1558754945 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · GRAND ISLAND, NE

Registration Details

NPI Number
1558754945
Provider Type
Individual
Gender
Female
NPI Issued
Mar 10, 2015 (11.431608294368 yrs)
Last Updated
Mar 10, 2015
Licenses
1164 (NE)
657 (NE)

Practice Information

Address
914 BAUMANN DR
GRAND ISLAND, NE, 688034401
Browse NE providers · Browse ZIP 68803
Phone
3083855250
Fax
3083855271
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in GRAND ISLAND, NE

Name Credential NPI
MR. MERRILL DELL CRANDALL MSW 1790713659
ROLAND T MARSH M.S.W. 1093739112
MR. DANIEL NOVOTNY LCSW 1568577666
MRS. DENISE KAY COTTINGHAM MSW, LSW 1972604403
MRS. KAY LOUISE STOFER LCSW 1407938442
MELISSA A ADAMS LICSW 1457430498
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.