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

Kali Mackenzie Jackson-Dieleman, LMSW-C, CAADC-DP

Individual provider Clinical Social Worker · NPI 1386205029

Kali Mackenzie Jackson-Dieleman, LMSW-C, CAADC-DP is a Clinical Social Worker in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

3300 36th St SE
Grand Rapids, MI 49512-2810
Phone: (616) 965-3355
Fax: (616) 965-3460
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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 6801104938 (MI)

Record details

NPI number1386205029
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW-C , CAADC-DP
Sole proprietorNo
NPI enumeratedJune 24, 2019
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

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