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

Jacquelyn L. Wise, LLMSW

Individual provider Clinical Social Worker · NPI 1124519640

Jacquelyn L. Wise, LLMSW is a Clinical Social Worker in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
Specialties on file
2

Practice location Address checks out

79 W Alexandrine St
Detroit, MI 48201-2015
Phone: (313) 831-5535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6801102246 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801102246 (MI)

Record details

NPI number1124519640
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedMay 21, 2018
Last updated in NPPESMay 21, 2018

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