MICHELLE D JACK LCSW
NPI 1558754945
Social Worker - Clinical in Grand Island, NE
NPI Status: Active since March 10, 2015
Contact Information
914 BAUMANN DR
GRAND ISLAND, NE
ZIP 68803
Phone: (308) 385-5250
Fax: (308) 385-5271
- 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 Grand Island, Nebraska with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1558754945 assigned on March 2015. The practitioner's primary taxonomy code is 1041C0700X with license number 657 (NE). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1558754945
- Provider Name
- MICHELLE D JACK LCSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 914 BAUMANN DR GRAND ISLAND, NE 68803
- Location Phone
- (308) 385-5250
- Location Fax
- (308) 385-5271
- Mailing Address
- 914 BAUMANN DR GRAND ISLAND, NE 68803
- Mailing Phone
- (308) 385-5250
- Mailing Fax
- (308) 385-5271
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-10-2015
- Last Update Date
- 03-10-2015
- 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.
- 657
- License State
- NE
- 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 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 1164 (NE) |
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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 | 5 | 5 | 8 | 7 | 5 | 4 | 9 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 10 | 8 | 14 | 5 | 8 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 0 + 8 + 1 + 4 + 5 + 8 + 9 + 8 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1558754945 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1255377818 | MR. ALAN BAUMGARDNER PA-C Individual | Physician Assistant | 914 BAUMANN DR GRAND ISLAND, NE 68803 (308) 385-5250 |
| 1104910298 | MR. THOMAS EDWARD COOK LMHP, CMSW Individual | Counselor (Mental Health) | 914 BAUMANN DR GRAND ISLAND, NE 68803 (308) 385-5252 |
| 1265527139 | MS. MARY C. ROCK PLMHP Individual | Counselor (Mental Health) | 914 BAUMANN DR GRAND ISLAND, NE 68803 (308) 385-5250 |
| 1013097021 | MS. KARA N KLINGINSMITH LMHP Individual | Counselor (Mental Health) | 914 BAUMANN DR GRAND ISLAND, NE 68803 (308) 385-5252 |
| 1558439950 | SANDRA EATON LMHP, LADC Individual | Counselor (Mental Health) | 914 BAUMANN DR GRAND ISLAND, NE 68803 (308) 385-5250 |
| 1487896882 | MRS. ARIEL LACHANDRA DERR PLMHP, NCC Individual | Counselor (Mental Health) | 914 BAUMANN DR GRAND ISLAND, NE 68803 (308) 385-5250 |
| 1316268022 | MID-PLAINS CENTER FOR BEHAVIORAL HEALTHCARE SERVICES Organization | Clinic/Center (Community Health) | 914 BAUMANN DR GRAND ISLAND, NE 68803 (308) 385-5250 |
| 1316255649 | ANGELA M RUNQUIST MSW, PLMHP Individual | Counselor (Mental Health) | 914 BAUMANN DR GRAND ISLAND, NE 68803 (308) 385-5250 |
| 1194004762 | MRS. KERRY L ALFREY MA. PLMHP Individual | Counselor (Mental Health) | 914 BAUMANN DR GRAND ISLAND, NE 68803 (308) 385-5250 |
| 1245575299 | MID-PLAINS CENTER FOR BEHAVIORAL HEALTHCARE SERVICES, LLC Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 914 BAUMANN DR GRAND ISLAND, NE 68803 (308) 385-5250 |
| 1710228291 | MID-PLAINS CENTER FOR BEHAVIORAL HEALTHCARE SERVICES, LLC Organization | Community/Behavioral Health | 914 BAUMANN DR GRAND ISLAND, NE 68803 (308) 385-5250 |
| 1699119222 | JACQUELINE E COX MA, PLMHP Individual | Counselor (Mental Health) | 914 BAUMANN DR GRAND ISLAND, NE 68803 (308) 385-5250 |
| 1124463823 | BERNARD DAVID HASCALL MS Individual | Counselor (Mental Health) | 914 BAUMANN DR GRAND ISLAND, NE 68803 (308) 385-5250 |
| 1912319450 | CHASE FRANCL MA, PLMHP Individual | Counselor (Mental Health) | 914 BAUMANN DR GRAND ISLAND, NE 68803 (308) 385-5250 |
| 1245643717 | REBEKAH ANN SHUNKWILER MA, PLMHP, PLADC Individual | Counselor (Mental Health) | 914 BAUMANN DR GRAND ISLAND, NE 68803 (308) 385-5250 |
| 1457754814 | SAMANTHA HALSTEAD Individual | Counselor (Mental Health) | 914 BAUMANN DR GRAND ISLAND, NE 68803 (308) 385-5250 |
| 1043687700 | JENNIFER PATRICIA CAMMON-LARSON PLMHP Individual | Counselor (Mental Health) | 914 BAUMANN DR GRAND ISLAND, NE 68803 (308) 385-5250 |
| 1750753190 | ASHLEY MARIE FLORES PLMHP Individual | Counselor (Mental Health) | 914 BAUMANN DR GRAND ISLAND, NE 68803 (308) 385-5250 |
| 1093243529 | ANTHONY ALLEN VERONEE JR. Individual | Counselor | 914 BAUMANN DR GRAND ISLAND, NE 68803 (308) 385-5250 |
| 1336651900 | CHAD KEEZER MS, PLMHP Individual | Counselor (Mental Health) | 914 BAUMANN DR GRAND ISLAND, NE 68803 (308) 385-5250 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558754945, enumerated in the NPI registry as an "individual" on March 10, 2015
The provider is located at 914 Baumann Dr Grand Island, Ne 68803 and the phone number is (308) 385-5250
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
This NPI record was last updated on March 10, 2015. 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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