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

Kelly A Jackson

Individual provider Clinical Social Worker · NPI 1477211019

Kelly A Jackson is a Clinical Social Worker in Detroit, Michigan. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

24424 W McNichols Rd
Detroit, MI 48219-3653
Phone: (313) 531-2500
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1477211019
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 1, 2021
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021

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