Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM ELAINE JACKSON, LICSW
ActiveKIM ELAINE JACKSON, LICSW is a Clinical Social Worker healthcare provider located in OAKLAND, California. NPI 1184275166 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · OAKLAND, CA
Registration Details
- NPI Number
- 1184275166
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 22, 2019 (6.7115150489361 yrs)
- Last Updated
- Apr 3, 2024
- Licenses
-
LC50082406 (DC)LW61326871 (WA)
Practice Information
- Address
-
4909 DAVENPORT AVEOAKLAND, CA, 946192920Browse CA providers · Browse ZIP 94619
- Phone
- 2065494668
- Fax
- 2065687043
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in OAKLAND, CA
| Name | Credential | NPI |
|---|---|---|
| GEORGINA NUNEZ | — | 1104820075 |
| DR. PAUL M. SAXTON | PH.D., LCSW | 1669477949 |
| SUSAN SUGARMAN | LCSW | 1053384677 |
| ALMA G PRINS | MSW, LCSW | 1336113257 |
| MS. MICHAELA WILCZYNSKI | LCSW | 1427024447 |
| MS. LORI BOWLEY | MSW | 1952378663 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.