MS. MICHELLE LORRAINE JACKSON ASW
NPI 1083021968
Social Worker in Santa Rosa, CA

Active since July 13, 2014
1421 GUERNEVILLE RD STE 218, SANTA ROSA, CA 95403(707) 576-7700(707) 576-7744 Get Directions Write a Review

NPPES record last updated: May 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Michelle Lorraine Jackson Asw NPPES

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

MS. MICHELLE LORRAINE JACKSON ASW (NPI 1083021968) is an individual social worker in Santa Rosa, California, licensed in California (ASW59973) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1083021968
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMS. MICHELLE LORRAINE JACKSONCredential: ASW
Location Address1421 GUERNEVILLE RD STE 218Santa Rosa, CA 95403-7255
Mailing Address1421 Guerneville RdSanta Rosa, CA 95403-7220 · (707) 576-7700 · Fax (707) 576-7744
Fax(707) 576-7744
Sole ProprietorYes
Enumeration DateJuly 13, 2014
Last NPPES UpdateMay 18, 2015
NPI 1083021968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in CA · ASW59973
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License ASW59973 (CA)
1421 GUERNEVILLE RD STE 218, Santa Rosa, CA 95403

Other Providers at the Same Location NPPES 4

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

Specialist
1421 GUERNEVILLE RD STE 218
SANTA ROSA, CA 95403
Community Health Worker
1421 GUERNEVILLE RD STE 218
SANTA ROSA, CA 95403
Marriage & Family Therapist
1421 GUERNEVILLE RD STE 218
SANTA ROSA, CA 95403
Social Worker (Clinical)
1421 GUERNEVILLE RD STE 218
SANTA ROSA, CA 95403

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 Michelle Jackson's NPI number?

The NPI number for Michelle Jackson is 1083021968. It was assigned to this individual provider in the NPPES registry on July 13, 2014.

Where is Michelle Jackson located?

Michelle Jackson practices at 1421 Guerneville Rd Ste 218, Santa Rosa, CA 95403. The listed phone number is (707) 576-7700.

What is Michelle Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Michelle Jackson was last updated on May 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.