Mary Kathleen Jackson-Spaner, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801114010 Issued in MI

Practice address

3317 Greenleaf Blvd
Kalamazoo, MI 49008-2516

Phone

(269) 216-3337

NPI assigned

May 23, 2018

Last updated

Mar 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acceptance and Change Transitions Kalamazoo LLC

  • Social Worker
  • Kalamazoo, MI
  • NPI 1598373631
  NPD (past)
• Western Michigan University School of Medicine

  dba WMed Health

  • Multi-Specialty Clinic/Center
  • Kalamazoo, MI
  • NPI 1316212343
  NPD (past)

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1487145587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 INDIANA ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 GREENLEAF BLVD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082516",
            "telephone_number": "269-216-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-SPANER",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114010",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801114010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahira Jabeen, MD
• Jori Jackard
• Tana Jackosn
• Jennifer Jackson Nkansah, MA
• Jordan Jackson-Blanchard
• Amari Jackson
• Angela Jackson
• Carmony Lateece Jackson
• Cinnamon Jackson
• De Lorenco L Jackson

• Social Worker in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.