MS. MICHELLE MARIE JACK LCSW
NPI 1386043503
Social Worker - Clinical in San Diego, CA
NPI Status: Active since August 14, 2014
Contact Information
409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA
ZIP 92108
Phone: (619) 813-9184
- Individual
- Female
- Social Worker
- Clinical
About MICHELLE JACK
This page provides the complete NPI Profile along with additional information for Michelle Jack, a provider established in San Diego, California with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1386043503 assigned on August 2014. The practitioner's primary taxonomy code is 1041C0700X with license number LCSW96801 (CA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1386043503
- Provider Name
- MS. MICHELLE MARIE JACK LCSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108
- Location Phone
- (619) 813-9184
- Mailing Address
- 409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108
- Mailing Phone
- (619) 813-9184
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-14-2014
- Last Update Date
- 02-17-2022
- Code Navigator
A clinical social worker like Michelle Jack is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LCSW96801
- License State
- CA
- Taxonomy Description
- A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 8 | 6 | 0 | 4 | 3 | 5 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 0 | 4 | 6 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 6 + 6 + 0 + 4 + 6 + 5 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1386043503 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073763629 | MR. CHRISTOPHER A ISAAC M.A., LMFT Individual | Marriage & Family Therapist | 409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108 (619) 346-4020 |
| 1164773651 | MARIA SUZANNA LOPEZ Individual | Case Manager/Care Coordinator | 409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108 (619) 346-4020 |
| 1639612054 | RUTH JUAREZ Individual | Social Worker (Clinical) | 409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108 (619) 346-4020 |
| 1699348425 | ALFRED YUCUPICIO AGUITE LMFT Individual | Marriage & Family Therapist | 409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108 (619) 346-4020 |
| 1740942564 | NINA LOUISE EDWARDS Individual | Case Manager/Care Coordinator | 409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108 (619) 276-1176 |
| 1801462320 | TELECARE CORPORATION Organization | Community/Behavioral Health | 409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108 (619) 346-4020 |
| 1245998129 | D'ANDRE RASHUN SWINEY Individual | Peer Specialist | 409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108 (619) 346-4020 |
| 1942707310 | JESSICA FRANCES FOSTER Individual | Counselor (Professional) | 409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108 (619) 813-9184 |
| 1295461861 | YESSENIA NATALEY ALMANZA Individual | Peer Specialist | 409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108 (619) 381-7748 |
| 1811546633 | CHRISTINE MARIE CROFT LCSW Individual | Social Worker (Clinical) | 409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108 (619) 346-4020 |
| 1356816185 | SHEELA MANDAVA LCSW Individual | Social Worker (Clinical) | 409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108 (619) 436-4263 |
| 1700358959 | MS. DALICIA FAYE MACK-NOWELL LCSW Individual | Social Worker (Clinical) | 409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108 (619) 381-7748 |
| 1023764719 | MS. CELIA A SANDOVAL Individual | Marriage & Family Therapist | 409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108 (619) 578-3500 |
| 1073216271 | MICHAEL ANDREW HENNING Individual | Community Health Worker | 409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108 (619) 381-7748 |
| 1134572928 | DANE RICHARD TURNEY ASSOCIATE MFT Individual | Marriage & Family Therapist | 409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108 (619) 381-7748 |
| 1407404536 | XOCHITL CRUZ Individual | Counselor (Professional) | 409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108 (619) 346-4020 |
| 1427752690 | RYAN GABRIEL MULLINS ACSW Individual | Social Worker (Clinical) | 409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108 (619) 381-7748 |
| 1790471134 | ALEXANDER JORDAN TY STULL Individual | Community Health Worker | 409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108 (619) 381-7748 |
| 1962102608 | NICHOLAS DEMETRIOS KAVATHAS Individual | Community Health Worker | 409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108 (619) 381-7748 |
| 1093388076 | JOSEPHINA CATHERINE LEVERONI LCSW Individual | Social Worker (Clinical) | 409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108 (619) 381-7748 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386043503, enumerated in the NPI registry as an "individual" on August 14, 2014
The provider is located at 409 Camino Del Rio S Ste 201 San Diego, Ca 92108 and the phone number is (619) 813-9184
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
This NPI record was last updated on August 14, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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