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

Juanicka Jackson

Individual provider Social Worker · NPI 1689023947

Juanicka Jackson is a Social Worker in Southgate, Michigan. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

13101 Allen Rd
Southgate, MI 48195-2216
Phone: (734) 785-7700
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 number1689023947
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 8, 2016
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022
Mailing address8245 Bramell, Redford, MI 48239-1108

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