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Kiyyo Shirese Jackson I
Case Manager/Care Coordinator in Detroit, Michigan
NPI 1760899744

Kiyyo Shirese Jackson I is a Case Manager/Care Coordinator based in Detroit, MI. Kiyyo Shirese Jackson I practices in Detroit, MI. The NPI Number for Kiyyo Shirese Jackson I is 1760899744 and holds a License No. 6803086048 (Michigan).

The current practice location address for Kiyyo Shirese Jackson I is 2925 Russell St, Detroit, MI and can be reached out via phone at 313-396-5300 and via fax at 313-396-5353.

Location: 2925 Russell St, Detroit, MI, 48207-4825
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760899744
Provider Name
Kiyyo Shirese Jackson I
Credential
Provider Entity Type
Individual
Gender
Female
Address
2925 Russell St, Detroit, MI, 48207-4825
Phone Number
313-396-5300
Fax Number
313-396-5353
Provider Enumeration Date
07/22/2014
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
6803086048 05 MI
institution
Provider Business Practice Location Address Details
Address
2925 Russell St
City
Detroit
State
Michigan
Zip
48207-4825
Phone Number
313-396-5300
Fax Number
313-396-5353
person
Provider Business Mailing Address Details
Address
2925 Russell St
City
Detroit
State
Michigan
Zip
48207-4825
Phone Number
313-396-5300
Fax Number
313-396-5353
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
6803086048 (Michigan)
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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