IndividualActive
Anita Jackson, MA, LBSW
NPI 1851785620 · Social Worker · Redford, MI
Provider details
- NPI number
- 1851785620
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- MA, LBSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6802074632 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
9315 Telegraph Rd
Redford, MI 48239-1260
Phone: (313) 450-4500
Fax: (313) 450-4512
Approximate (ZIP-level) locationGet directions
Mailing address
9315 Telegraph Rd
Redford, MI 48239-1260
Registry dates
- Enumerated
- 2015-03-19
- Last updated
- 2022-03-21
- Certified
- 2022-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.