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

Jack Bryant, LLMSW

Individual provider Clinical Social Worker · NPI 1063390243

Jack Bryant, LLMSW is a Clinical Social Worker in Lansing, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

812 E Jolly Rd Ste 210
Lansing, MI 48910-6825
Phone: (517) 237-7162
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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 6851119546 (MI)

Record details

NPI number1063390243
Entity typeIndividual (Type 1)
GenderMale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedAugust 25, 2025
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025
Mailing address812 E Jolly Rd Ste 210, Lansing, MI 48910-6825

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