Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124519640 Individual Practitioner Female Practitioner

Jacquelyn L. Wise , LLMSW

Social Worker • Detroit, MI

Professional Overview & Biography Verified Profile Summary

Jacquelyn Wise, LLMSW is a registered healthcare professional specializing in Social Worker in Detroit, MI. Practice services are available at 79 W ALEXANDRINE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

79 W Alexandrine St

Detroit, MI 482012015

Telephone 3138315535
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Detroit, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.6 Yrs
State Avg: 16.0 Yrs
Regional Practice Density
958 Specialists

Practicing in Detroit, MI (9360 Statewide)

Telehealth Adoption Rate
1.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MI 6801102246

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License MI 6801102246

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Leah Welton , MSW

Social Worker - Clinical

NPI 1003217340

Master of Social Work

Emily Troyer , LPC

Counselor - Professional

NPI 1003270166

Licensed Professional Counselor

Rojet Morrow , LLMSW, CMHP

Social Worker - Clinical

NPI 1003549940

Limited Licensed Master Social Worker, CMHP

Angela Orr

Behavior Technician

NPI 1013429596
Loretta Bantom

Counselor - Professional

NPI 1013448059
NPI 1023438157

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 21, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2018

Registered at 79 W ALEXANDRINE ST, DETROIT, MI 482012015 (Tel: 3138315535)

📍
Updated Business Mailing Address May 21, 2018

Registered at 79 W ALEXANDRINE ST # MI48201, DETROIT, MI 482012015 (Tel: 3138315535)

👤
Provider Name / Credentials Updated May 21, 2018

Recorded as JACQUELYN WISE, LLMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2018

Social Worker (License #6801102246 in MI)

🟢
Initial NPI Registration & Enumeration May 21, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124519640
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2018
Last Update: May 21, 2018
Sole Proprietor: No

Mailing Address

79 W Alexandrine St # Mi48201

Detroit, MI 482012015

Phone: 3138315535

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.