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

Kelly Lynne Jackson, LLMSW

Individual provider Clinical Social Worker · NPI 1659993251

Kelly Lynne Jackson, LLMSW is a Clinical Social Worker in Waterford, Michigan. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1255 N Oakland Blvd
Waterford, MI 48327-1545
Phone: (248) 599-8999
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 number1659993251
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedMay 18, 2020
Last updated in NPPESNovember 1, 2022
Certification dateNovember 1, 2022

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