IndividualActive
Jackie Stephan, LMSW
NPI 1275967952 · Clinical Social Worker · Southfield, MI
Provider details
- NPI number
- 1275967952
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- License
- 6801092663 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15700 W 10 Mile Rd Ste 106
Southfield, MI 48075
Phone: (989) 225-4111
Fax: (248) 575-4555
Street-level locationGet directions
Mailing address
15700 W 10 Mile Rd Ste 106
Southfield, MI 48075-2100
Additional practice locations (1)
- 15700 W 10 Mile Rd Ste 106Southfield, MI 48075Phone: (989) 225-4111Fax: (248) 575-4555
Registry dates
- Enumerated
- 2013-08-29
- Last updated
- 2019-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.