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

DOMINIQUE JACKSON, LCSW

Active Sole Proprietor

DOMINIQUE JACKSON, LCSW is a Clinical Social Worker healthcare provider located in STERLING HEIGHTS, Michigan. NPI 1669042164 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · STERLING HEIGHTS, MI

Registration Details

NPI Number
1669042164
Provider Type
Individual
Gender
Female
NPI Issued
Jun 28, 2021 (5.1063181606494 yrs)
Last Updated
Jun 28, 2021
License
6801106928 (MI)
Sole Proprietor
Yes

Practice Information

Address
43847 RUSHCLIFFE DR
STERLING HEIGHTS, MI, 483131197
Browse MI providers · Browse ZIP 48313
Phone
5866105990
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in STERLING HEIGHTS, MI

Name Credential NPI
MR. EDWARD THOMAS VINCENT LMSW 1497709836
JEANINE M JONES MSW 1972521029
MS. NANCY L MCCLURE M.A.,LMSW 1396833901
MS. KAREN M. JORDAN LMSW 1699813667
MS. REBECCA BARAHAL TRON M.S.W. 1679612519
MRS. AMY ELIZABETH PARK-GOEDDEKE LMSW 1417097700
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.