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

Michelle D Jack, LCSW

Individual provider Professional Counselor · NPI 1558754945

Michelle D Jack, LCSW is a Professional Counselor in Grand Island, Nebraska. Licensed in Nebraska. Registered with an NPI since 2015.

Licensed in
NE
In the registry since
2015
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

914 Baumann Dr
Grand Island, NE 68803-4401
Phone: (308) 385-5250
Fax: (308) 385-5271
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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 657 (NE)
Professional Counselor Taxonomy 101YP2500X · Licence 1164 (NE)

Record details

NPI number1558754945
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 10, 2015
Last updated in NPPESMarch 10, 2015

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