NICOLE C. JACKSON LCSW
NPI 1033444708
Social Worker - Clinical in Oakland, CA

Active since October 13, 2009
8750 MOUNTAIN BLVD, BUILDING 69, OAKLAND, CA 94605(510) 777-5300 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 27, 2019, Nov 15, 2018, Jul 12, 2017 and 1 more (4 updates tracked since 2015).

About Nicole C. Jackson Lcsw NPPES

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

NICOLE C. JACKSON LCSW (NPI 1033444708) is an individual clinical provider in Oakland, California, licensed in Georgia (CSW006567) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1033444708
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE C. JACKSONCredential: LCSW
Location Address8750 MOUNTAIN BLVD, BUILDING 69Oakland, CA 94605-4500
Mailing Address445 Winn Way Fl 4Decatur, GA 30030-1707 · (404) 294-3745
Sole ProprietorNo
Enumeration DateOctober 13, 2009
Last NPPES UpdateAugust 27, 20194 updates tracked since enumeration
NPI 1033444708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in GA · CSW006567 Licensed in CA · 77555
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.

8750 MOUNTAIN BLVD, Oakland, CA 94605

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
8750 MOUNTAIN BLVD, BLDG 69
OAKLAND, CA 94605
Counselor (Mental Health)
8750 MOUNTAIN BLVD
OAKLAND, CA 94605
Counselor (Mental Health)
8750 MOUNTAIN BLVD, BUILDING 69 B
OAKLAND, CA 94605
Counselor
8750 MOUNTAIN BLVD, BLDG 69
OAKLAND, CA 94605
Community/Behavioral Health
8750 MOUNTAIN BLVD, BLDG. 69
OAKLAND, CA 94605
Community Health Worker
8750 MOUNTAIN BLVD, BLDG 69
OAKLAND, CA 94605
Counselor
8750 MOUNTAIN BLVD, BUILDING 69
OAKLAND, CA 94605
Marriage & Family Therapist
8750 MOUNTAIN BLVD, BUILDING 69
OAKLAND, CA 94605

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 Nicole Jackson's NPI number?

The NPI number for Nicole Jackson is 1033444708. It was assigned to this individual provider in the NPPES registry on October 13, 2009.

Where is Nicole Jackson located?

Nicole Jackson practices at 8750 Mountain Blvd Building 69, Oakland, CA 94605. The listed phone number is (510) 777-5300.

What is Nicole 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 Nicole Jackson was last updated on August 27, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.