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

Jacquelyn Clemons, LLBSW

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417476151

Jacquelyn Clemons, LLBSW is a Student in an Organized Health Care Education/Training Program in Ecorse, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2017

Practice location Address checks out

4300 6th St
Ecorse, MI 48229-1110
Phone: (313) 724-6192
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MI)

Record details

NPI number1417476151
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLBSW
Sole proprietorYes
NPI enumeratedSeptember 13, 2017
Last updated in NPPESSeptember 13, 2017

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