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

Individual provider Social Worker · NPI 1255713723

Stephanie Jackson, LBSW, QMHP, QIDP is a Social Worker in Livonia, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2015
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Practice location Address checks out

32229 Schoolcraft Rd
Livonia, MI 48150-4302
Phone: (734) 261-7530
Fax: (734) 261-4192
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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 6802078258 (MI)

Record details

NPI number1255713723
Entity typeIndividual (Type 1)
GenderFemale
Credentials LBSW , QMHP , QIDP
Sole proprietorYes
NPI enumeratedJune 22, 2015
Last updated in NPPESJune 22, 2015

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