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KASEY B JACKSON LCSW-S
NPI 1003378241
Social Worker - Clinical in Austin, TX

Active since April 05, 2019
12120 MANCHACA RD, AUSTIN, TX 78748(512) 960-4533 Get Directions Write a Review

NPPES record last updated: April 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kasey B Jackson Lcsw-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KASEY B JACKSON LCSW-S (NPI 1003378241) is an individual clinical provider in Austin, Texas, licensed in Texas (52150) and active in the NPI registry since April 2019. She maintains a secondary practice location in Austin.

NPPES Registry Identity

NPI1003378241
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKASEY B JACKSONCredential: LCSW-S
Location Address12120 MANCHACA RDAustin, TX 78748-2710
Mailing Address1221 W Ben White Blvd Ste 210aAustin, TX 78704-7182 · (512) 960-4553 · Fax (512) 887-3970
Phone(512) 960-4533
Sole ProprietorNo
Enumeration DateApril 5, 2019
✔ NPI 1003378241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 52150
Definition
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.
12120 MANCHACA RD, Austin, TX 78748
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Other Names 1

Former Name (1)Kasey Lynn Bourbon

Secondary Practice Location 1

Location 11221 W Ben White Blvd Ste 210AAustin, TX 78704-7182 · Phone (512) 960-4553 · Fax (512) 887-3970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kasey Jackson's NPI number?

The NPI number for Kasey Jackson is 1003378241. It was assigned to this individual provider in the NPPES registry on April 5, 2019. The provider is also known as Kasey Lynn Bourbon.

Where is Kasey Jackson located?

Kasey Jackson practices at 12120 Manchaca Rd, Austin, TX 78748. The listed phone number is (512) 960-4533.

What is Kasey Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kasey Jackson was last updated on April 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.