IndividualActive
Kelly Jackson
NPI 1477211019 · Clinical Social Worker · Detroit, MI
Kelly Jackson is a Clinical Social Worker provider in Detroit, MI (NPI 1477211019).
Provider details
- NPI number
- 1477211019
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
24424 W Mcnichols Rd
Detroit, MI 48219-3653
Phone: (313) 531-2500
Street-level locationGet directions
Mailing address
4716 Ennismore Dr
Clarkston, MI 48346-3619
Registry dates
- Enumerated
- 2021-12-01
- Last updated
- 2021-12-01
- Certified
- 2021-12-01
Frequently asked questions
- What is Kelly Jackson's NPI number?
- Kelly Jackson's National Provider Identifier (NPI) is 1477211019, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Jackson's specialty?
- Kelly Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kelly Jackson located?
- Kelly Jackson's practice location on file with NPPES is 24424 W Mcnichols Rd, Detroit, MI 48219-3653.
- What is Kelly Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kelly Jackson is (313) 531-2500.
- Is Kelly Jackson's NPI active?
- Yes — Kelly Jackson's NPI (1477211019) is active in the NPPES registry as of the last update on 2021-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.