JACKSON INNOVATIONS PLLC
NPI 1750405734
Social Worker - Clinical in Southfield, MI

NPI Status: Active since March 16, 2007

Contact Information

20700 CIVIC CENTER DR
SUITE 170
SOUTHFIELD, MI
ZIP 48076
Phone: (248) 569-9846
Fax: (248) 569-1919

Get Directions Reviews

  • Organization
  • Social Worker
  • Clinical

About JACKSON INNOVATIONS PLLC

This page provides the complete NPI Profile along with additional information for Jackson Innovations Pllc, a provider established in Southfield, Michigan operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1750405734 assigned on March 2007. The practitioner's primary taxonomy code is 1041C0700X with license number 6801059515 (MI). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ms. Gaynella Jackson Lmsw (Clinical Director)

NPI
1750405734
Provider Name
JACKSON INNOVATIONS PLLC
Entity Type
Organization
Location Address
20700 CIVIC CENTER DR SUITE 170 SOUTHFIELD, MI 48076
Location Phone
(248) 569-9846
Location Fax
(248) 569-1919
Mailing Address
20700 CIVIC CENTER DR SUITE 170 SOUTHFIELD, MI 48076
Mailing Phone
(248) 569-9846
Mailing Fax
(248) 569-1919
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-16-2007
Last Update Date
08-22-2020
Code Navigator

A clinical social worker like Jackson Innovations Pllc 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.
6801059515
License State
MI
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. GAYNELLA JACKSON LMSW

Authorized Official Title
CLINICAL DIRECTOR
Authorized Official Phone
(248) 569-9846

Reviews for JACKSON INNOVATIONS PLLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1750405734
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100801076
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 8 + 0 + 1 + 0 + 7 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1750405734 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154445138MS. GAYNELLA JACKSON LMSW
Individual
Social Worker (Clinical)20700 CIVIC CENTER DR SUITE 170
SOUTHFIELD, MI 48076
(248) 569-9846
1932325180MRS. LANETIA MARIE NORRIS LMSW, ACSW
Individual
Social Worker (Clinical)20700 CIVIC CENTER DR SUITE 170
SOUTHFIELD, MI 48076
(313) 207-8000
1861692824GAYLE WALLS-BROWN PLLC
Organization
Community/Behavioral Health20700 CIVIC CENTER DR 170
SOUTHFIELD, MI 48076
(313) 610-5711
1851693543KIMBERLY MATERNITY LLC
Organization
Durable Medical Equipment & Medical Supplies20700 CIVIC CENTER DR SUITE 170
SOUTHFIELD, MI 48076
(800) 709-2187

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750405734, enumerated in the NPI registry as an "organization" on March 16, 2007

The provider is located at 20700 Civic Center Dr Suite 170 Southfield, Mi 48076 and the phone number is (248) 569-9846

This medical organization specializes in Social Worker with taxonomy code 1041C0700X with a focus in Clinical

This NPI record was last updated on March 16, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.