DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PATRICIA JACKSON LMSW

MEDICARE: PATRICIA JACKSON LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6801084223MI

General Provider Information

NPI Number : 1689508889
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA JACKSON LMSW
Provider Business Mailing Address
First Line : 2222 W GRAND RIVER AVE STE A
Second Line :
City : OKEMOS
State : MI
Zip : 48864-1604
Country : US
Telephone Number : 313-217-5263
Fax Number :
Provider Business Practice Location Address
First Line : 2222 W GRAND RIVER AVE STE A
Second Line :
City : OKEMOS
State : MI
Zip : 48864-1604
Country : US
Telephone Number : 313-217-5263
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/12/2026

Similar Medicare Providers

1801674643 — SHELBY SCHWERI LPC
Practice Location Address:
2222 W GRAND RIVER AVE STE A
OKEMOS, MI
48864-1604
Practice Phone: 517-798-6689
Practice Fax:
1275469520 — CASSIDY CHASE CARTWRIGHT LLPC
Practice Location Address:
2222 W GRAND RIVER AVE # A
OKEMOS, MI
48864-1604
Practice Phone: 989-528-1221
Practice Fax:
1831021112 — MOONRISE MIND & WELLNESS LLC
Practice Location Address:
2222 W GRAND RIVER AVE STE A
OKEMOS, MI
48864-1604
Practice Phone: 269-235-9094
Practice Fax:
1194641977 — WE DO FOR FAMILY LLC
Practice Location Address:
2222 W GRAND RIVER AVE STE A
OKEMOS, MI
48864-1604
Practice Phone: 586-552-3940
Practice Fax:
1629904719 — ESSENTIAL C.A.R.E. AT HOME LLC
Practice Location Address:
2222 W GRAND RIVER AVE STE A
OKEMOS, MI
48864-1604
Practice Phone: 313-220-1385
Practice Fax:
1447189386 — AIKO'S HOME AWAY FROM HOME
Practice Location Address:
2222 W GRAND RIVER AVE STE A
OKEMOS, MI
48864-1604
Practice Phone: 586-648-2988
Practice Fax:
1013841295 — BALANCED HEALING LLC
Practice Location Address:
2222 W GRAND RIVER AVE STE A
OKEMOS, MI
48864-1604
Practice Phone: 248-220-3034
Practice Fax:

Directions to “ PATRICIA JACKSON LMSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.