Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Audrey Lee Jackson, MSW

Individual provider Clinical Social Worker · NPI 1093237943

Audrey Lee Jackson, MSW is a Clinical Social Worker in Ypsilanti, Michigan. Qualified in 1978, 48 years ago. Practices with Catholic Social Services of Washtenaw County, a 4-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
48
Licensed in
MI
In the registry since
2017
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

811 Young St
Ypsilanti, MI 48198
Phone: (734) 352-9474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801105658 (MI)

Record details

NPI number1093237943
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedJuly 12, 2017
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Group practice Catholic Social Services Of Washtenaw County — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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