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MS. CAROLYN JANE JACKSON LCSW
NPI 1063771996
Social Worker - Clinical in Tampa, FL

Active since May 12, 2012
200 S HOOVER BLVD, SUITE 170, TAMPA, FL 33609(727) 692-7096 Get Directions Write a Review

NPPES record last updated: May 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Carolyn Jane Jackson Lcsw NPPES

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

MS. CAROLYN JANE JACKSON LCSW (NPI 1063771996) is an individual clinical provider in Tampa, Florida, licensed in Florida (SW10436) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1063771996
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. CAROLYN JANE JACKSONCredential: LCSW
Location Address200 S HOOVER BLVD, SUITE 170Tampa, FL 33609-3540
Mailing AddressPo Box 320331Tampa, FL 33679-2331 · (727) 692-7096
Phone(727) 692-7096
Sole ProprietorYes
Enumeration DateMay 12, 2012
✔ NPI 1063771996 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 FL · SW10436
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.
200 S HOOVER BLVD, Tampa, FL 33609
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Other Providers at the Same Location NPPES 9

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

MRS. ERICA J. CLARK PSY.D.
Psychologist (Clinical)
200 S HOOVER BLVD, SUITE #165
TAMPA, FL 33609
Hillsborough County (813) 815-0664
FOCUS MANAGEMENT ASSOCIATES LLC
Home Health
200 S HOOVER BLVD, SUITE 160
TAMPA, FL 33609
Hillsborough County (813) 288-8001
KRISTINE M. SALZER MS, RD, LD/N
Dietitian, Registered
200 S HOOVER BLVD, SUITE 165
TAMPA, FL 33609
Hillsborough County (813) 602-1642
MRS. JENIFER JOHNSTON ELLIOTT LMFT
Marriage & Family Therapist
200 S HOOVER BLVD, SUITE 101
TAMPA, FL 33609
Hillsborough County (813) 767-9358
SHEILA DERBY MCLEAN LMHC
Counselor (Mental Health)
200 S HOOVER BLVD, S-170
TAMPA, FL 33609
Hillsborough County (727) 612-0844
MRS. ALICE MENDEZ BOULLOSA M.S.W., L.M.F.T.
Marriage & Family Therapist
200 S HOOVER BLVD, BLDG 200 SUITE 100
TAMPA, FL 33609
Hillsborough County (813) 789-6070
ROBERT STEPHEN ADCOCK MSSW
Social Worker (Clinical)
200 S HOOVER BLVD, SUITE 170
TAMPA, FL 33609
Hillsborough County (813) 335-5444
PATRICIA ANN FREDERICK LCSW
Social Worker (Clinical)
200 S HOOVER BLVD, SUITE 170
TAMPA, FL 33609
Hillsborough County (727) 403-2217

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 Carolyn Jackson's NPI number?

The NPI number for Carolyn Jackson is 1063771996. It was assigned to this individual provider in the NPPES registry on May 12, 2012.

Where is Carolyn Jackson located?

Carolyn Jackson practices at 200 S Hoover Blvd Suite 170, Tampa, FL 33609. The listed phone number is (727) 692-7096.

What is Carolyn 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 Carolyn Jackson was last updated on May 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.