MRS. KATINA JACKSON LCSW
NPI 1093104234
Social Worker - Clinical in Tallahassee, FL

Q: What is Katina Jackson's NPI number?

The NPI number for Katina Jackson is 1093104234. It was assigned to this individual provider in the NPPES registry on January 12, 2015.

Q: What is Katina Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katina Jackson was last updated on January 12, 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.

Active since January 12, 2015

1607 SAINT JAMES CT, TALLAHASSEE, FL 32308(850) 878-0191 Get Directions Write a Review

NPPES record last updated: January 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Katina Jackson Lcsw NPPES

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

MRS. KATINA JACKSON LCSW (NPI 1093104234) is an individual clinical provider in Tallahassee, Florida, licensed in Florida (SW 10602) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1093104234

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. KATINA JACKSONCredential: LCSW

Location Address1607 SAINT JAMES CTTallahassee, FL 32308-5352

Mailing Address8050 Blue Star HwyChattahoochee, FL 32324-2934 · (850) 273-2322

Phone(850) 878-0191

Sole ProprietorYes

Enumeration DateJanuary 12, 2015

✔ NPI 1093104234 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 · SW 10602

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.

1607 SAINT JAMES CT, Tallahassee, FL 32308

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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.

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