IndividualActive
Derrick Jackson, LLMSW
NPI 1588928626 · Clinical Social Worker · Pontiac, MI
Derrick Jackson, LLMSW is a Clinical Social Worker provider in Pontiac, MI (NPI 1588928626).
Provider details
- NPI number
- 1588928626
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LLMSW
- Sex
- Male
- Sole proprietor
- No
- License
- 6801094410 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% 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
114 Orchard Lake Rd
Pontiac, MI 48341-2244
Phone: (248) 858-7766
Fax: (248) 858-7112
Street-level locationGet directions
Mailing address
114 Orchard Lake Rd
Pontiac, MI 48341-2244
Registry dates
- Enumerated
- 2012-07-03
- Last updated
- 2012-07-03
Frequently asked questions
- What is Derrick Jackson's NPI number?
- Derrick Jackson's National Provider Identifier (NPI) is 1588928626, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrick Jackson's specialty?
- Derrick Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Derrick Jackson located?
- Derrick Jackson's practice location on file with NPPES is 114 Orchard Lake Rd, Pontiac, MI 48341-2244.
- What is Derrick Jackson's phone number?
- The practice phone number listed in the NPPES registry for Derrick Jackson is (248) 858-7766.
- Is Derrick Jackson's NPI active?
- Yes — Derrick Jackson's NPI (1588928626) is active in the NPPES registry as of the last update on 2012-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.