Active NPI
Rosalyn Diona Jackson, LBSW
- Social Worker
- Detroit, MI
National Provider Identifier
1235525031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6802076524
- Practice address
- 100 River Place Dr
Detroit, MI 48207-4274 - Phone
- (313) 817-2337
- NPI assigned
- Apr 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6802076524 | MI | Primary |
Addresses
Primary practice location
100 River Place Dr
Detroit, MI 48207-4274
Mailing address
100 River Place Dr
Detroit, MI 48207-4274
Other names 1
- Ms. Rosalyn Diona Hope
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6802076524 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1235525031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 RIVER PLACE DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482074274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 RIVER PLACE DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482074274",
"telephone_number": "313-817-2337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ROSALYN",
"middle_name": "DIONA",
"name_prefix": "Mrs.",
"credential": "LBSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-09",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6802076524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROSALYN",
"last_name": "HOPE",
"middle_name": "DIONA",
"prefix": "MS.",
"credential": "LBSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.