Jackson Innovations PLLC
NPI 1750405734 · Clinical Social Worker · Southfield, MI
Jackson Innovations PLLC is a Clinical Social Worker organization in Southfield, MI (NPI 1750405734).
Provider details
- NPI number
- 1750405734
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Gaynella Jackson, Clinical Director(248) 569-9846
- License
- 6801059515 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-03-16
- Last updated
- 2020-08-22
Frequently asked questions
- What is Jackson Innovations PLLC's NPI number?
- Jackson Innovations PLLC's National Provider Identifier (NPI) is 1750405734, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Innovations PLLC?
- Jackson Innovations PLLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jackson Innovations PLLC located?
- Jackson Innovations PLLC's practice location on file with NPPES is 20700 Civic Center Dr, Southfield, MI 48076-4140.
- What is Jackson Innovations PLLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Innovations PLLC is (248) 569-9846.
- Who is the authorized official for Jackson Innovations PLLC?
- The authorized official listed on Jackson Innovations PLLC's NPPES record is Gaynella Jackson, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Innovations PLLC's NPI active?
- Yes — Jackson Innovations PLLC's NPI (1750405734) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.