Jacqueline Rancour LMSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JACQUELINE RANCOUR LMSW PLLC

Practice address

18518 Outer Dr
Dearborn, MI 48128-1874

Phone

(313) 318-1237

Fax

(313) 722-4391

NPI assigned

May 14, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacqueline RancourNPI 1689858300

Title

Owner

Phone

(313) 318-1237

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline M Rancour, L.M.S.W.

  • Clinical Social Worker
  • Dearborn, MI
  • NPI 1689858300
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1447009428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18518 OUTER DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18518 OUTER DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281874",
            "telephone_number": "313-318-1237",
            "fax_number": "313-722-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE RANCOUR LMSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "RANCOUR",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-318-1237"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shevon R Jackson
• Taris Adrian Jackson
• Wayde Alan Jackson II
• Maya Marie Jacob
• David R. Jacobi, M.D.
• Ezeah Jadallah
• Omar Jadallah
• Nour Ali Jafar, PHARMD
• Zainab Jafar, MS
• Faten Jafer, LLMSW

• Clinical Social Worker in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.