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GINA LYNN JACKSON LCSW
NPI 1093680605
Social Worker - Clinical in Saint Louis, MO

Active since October 06, 2025
6542 NASHVILLE AVE, SAINT LOUIS, MO 63139(314) 884-8034 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gina Lynn Jackson Lcsw NPPES

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

GINA LYNN JACKSON LCSW (NPI 1093680605) is an individual clinical provider in Saint Louis, Missouri, licensed in Missouri (2025042242) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1093680605
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGINA LYNN JACKSONCredential: LCSW
Location Address6542 NASHVILLE AVESaint Louis, MO 63139-3427
Mailing Address6542 Nashville AveSaint Louis, MO 63139-3427
Phone(314) 884-8034
Sole ProprietorNo
Enumeration DateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1093680605 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 MO · 2025042242
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.
6542 NASHVILLE AVE, Saint Louis, MO 63139
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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 Gina Jackson's NPI number?

The NPI number for Gina Jackson is 1093680605. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Where is Gina Jackson located?

Gina Jackson practices at 6542 Nashville Ave, Saint Louis, MO 63139. The listed phone number is (314) 884-8034.

What is Gina 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 Gina Jackson was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.