Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KYLIAH LANEICE JACKSON, LISW-CP

Deactivated

KYLIAH LANEICE JACKSON, LISW-CP is a Clinical Social Worker healthcare provider located in COLUMBIA, South Carolina. NPI 1871082438 is deactivated in the NPPES registry. Verify at CMS.

Clinical Social Worker · COLUMBIA, SC

This NPI has been deactivated. The record was deactivated on December 9, 2024. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number: 1871082438
Provider Type: Individual
Gender: Female
NPI Issued: May 8, 2018 (6.5890410958904 yrs)
Last Updated: Feb 24, 2025
Deactivated: Dec 9, 2024
Licenses: 29403 (MN)

29403 (MN)

17505 (SC)

17505 (SC)

Practice Information

Address: 1 RICE POINTE CT

COLUMBIA, SC, 292039025
Browse SC providers · Browse ZIP 29203
Phone: 7086759061
Primary Specialty: Clinical Social Worker
1041C0700X
Additional Specialty: Mental Health Counselor
Additional Specialty: Mental Health Counselor
Additional Specialty: Clinical Social Worker
Additional Specialty: Behavior Technician

Other Clinical Social Worker Providers in COLUMBIA, SC

Name	Credential	NPI
LISA AMODIO	LISW-CP, LCSW-R	1063415909
MRS. CAREY PILOT SAWYER	LCSW	1841290442
MR. ERIK DUFOURNY	MSW	1700865631
MS. BETH TROY MARIS	MSW	1760450381
MRS. TONI CAROL NATRIGO-WATERS	LMSW LISW CP	1083683775
MR. RAYMOND J OLSZEWSKI JR.	LMSW	1922068766

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.