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

Justin Jeremy Bishop

Individual provider Clinical Social Worker · NPI 1083266407

Justin Jeremy Bishop is a Clinical Social Worker in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1200 N West Ave
Jackson, MI 49202-2179
Phone: (517) 780-3350
Fax: (517) 789-1286
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6802090398 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6802090398 (MI)

Record details

NPI number1083266407
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 15, 2019
Last updated in NPPESJuly 15, 2019

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