Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kietric Jenkins, MA, CADC, QSAP, SST

Individual provider Social Worker · NPI 1679820666

Kietric Jenkins, MA, CADC, QSAP, SST is a Social Worker in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

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Practice location Address checks out

5575 Conner St Ste 210
Detroit, MI 48213-6401
Phone: (313) 643-5542
Fax: (248) 522-7045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6803085676 (MI)

Record details

NPI number1679820666
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , CADC , QSAP , SST
Sole proprietorNo
NPI enumeratedAugust 8, 2012
Last updated in NPPESAugust 8, 2012

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