Active NPI
Valerie F Jackson, LMSW, ACSW
- Social Worker
- Flint, MI
National Provider Identifier
1356471908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801077180
- Practice address
- G3163 Flushing Rd
Suite 214
Flint, MI 48504-4365 - Phone
- (810) 845-6465
- Fax
- (810) 733-7317
- NPI assigned
- Mar 6, 2007
- 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 | 6801077180 | MI | Primary |
Addresses
Primary practice location
G3163 Flushing Rd
Suite 214
Flint, MI 48504-4365
Mailing address
5418 Bright Creek CT
Flint, MI 48532-2254
Phone (810) 845-6465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8008976850 | Other | MI | BC BS PIN |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Faith Counseling Center, LLC | Current | Accepting new patients | |
| Michigan Employee Assistance Consultant PLLC | Past | Accepting new patients |
Locations
G3163 Flushing Rd
Ste 214
Flint, MI 48504
Phone (810) 845-6465
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Flint, MI
- NPI 1659932481
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Flint, MI
- NPI 1962634618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1356471908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5418 BRIGHT CREEK CT",
"city": "FLINT",
"state": "MI",
"postal_code": "485322254",
"telephone_number": "810-845-6465",
"fax_number": "810-733-7317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G3163 FLUSHING RD",
"address_2": "SUITE 214",
"city": "FLINT",
"state": "MI",
"postal_code": "485044365",
"telephone_number": "810-845-6465",
"fax_number": "810-733-7317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "VALERIE",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "LMSW, ACSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801077180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS PIN",
"identifier": "8008976850",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.