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

Mr. Jefferson Nichols Jr., LBSW

Individual provider Social Worker · NPI 1902146764

Mr. Jefferson Nichols Jr., LBSW is a Social Worker in Taylor, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013

Practice location Address checks out

24354 Ecorse Rd
Taylor, MI 48180-1643
Phone: (313) 292-5300
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6802084389 (MI)

Record details

NPI number1902146764
Entity typeIndividual (Type 1)
GenderMale
Credentials LBSW
Sole proprietorNo
NPI enumeratedFebruary 15, 2013
Last updated in NPPESFebruary 15, 2013

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