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MS. ALYSA MICHELE JACKSON MSW
NPI 1073571428
Social Worker - Clinical in Fort Worth, TX

Active since May 03, 2006
3000 'J' STREET,, FEDERAL MEDICAL CENTER, CARSWELL, FORT WORTH, TX 76127(817) 782-4002 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Alysa Michele Jackson Msw NPPES

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

MS. ALYSA MICHELE JACKSON MSW (NPI 1073571428) is an individual clinical provider in Fort Worth, Texas, licensed in New York (075695) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1073571428
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. ALYSA MICHELE JACKSONCredential: MSW
Location Address3000 'J' STREET,, FEDERAL MEDICAL CENTER, CARSWELLFort Worth, TX 76127
Mailing Address5425 Deer Island DrFort Worth, TX 76179-1481 · (254) 833-0663
Phone(817) 782-4002
Sole ProprietorYes
Enumeration DateMay 3, 2006
Last NPPES UpdateOctober 10, 2016
✔ NPI 1073571428 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 NY · 075695
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.
3000 'J' STREET,, Fort Worth, TX 76127
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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 Alysa Jackson's NPI number?

The NPI number for Alysa Jackson is 1073571428. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Alysa Jackson located?

Alysa Jackson practices at 3000 'j' Street, Federal Medical Center, Carswell, Fort Worth, TX 76127. The listed phone number is (817) 782-4002.

What is Alysa 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 Alysa Jackson was last updated on October 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.