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

Dominique Jackson

Individual provider Social Worker · NPI 1538629639

Dominique Jackson is a Social Worker in Grand Rapids, Michigan. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone: (616) 391-1675
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1538629639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 23, 2019
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

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