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JESSICA JACKSON LICSW
NPI 1114076684
Social Worker - Clinical in Brighton, MA

Active since January 10, 2007
77 WARREN ST, BUILDING #9, BRIGHTON, MA 02135(617) 254-0964 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Jackson Licsw NPPES

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

JESSICA JACKSON LICSW (NPI 1114076684) is an individual clinical provider in Brighton, Massachusetts, licensed in Massachusetts (113911) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1114076684
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA JACKSONCredential: LICSW
Location Address77 WARREN ST, BUILDING #9Brighton, MA 02135-3601
Mailing Address1269 Broadway, Rear Apt #8Somerville, MA 02144-1723
Phone(617) 254-0964
Sole ProprietorNo
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114076684 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 MA · 113911
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.
77 WARREN ST, Brighton, MA 02135
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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.

CANDACE LOUGHLIN
Registered Nurse
77 WARREN ST
BRIGHTON, MA 02135
Suffolk County (617) 254-1271
EBONY C PRICE LPN
Licensed Practical Nurse
77 WARREN ST
BRIGHTON, MA 02135
Suffolk County (617) 254-1271
MISS DANIELLE NYCOLE GREENAWAY LPN
Licensed Practical Nurse
77 WARREN ST
BRIGHTON, MA 02135
Suffolk County (617) 254-1271
SULAI DELACRUZ
Licensed Practical Nurse
77 WARREN ST
BRIGHTON, MA 02135
Suffolk County (617) 254-1271
SARAH NICOLE STANLEY
Counselor (Addiction (Substance Use Disorder))
77 WARREN ST
BRIGHTON, MA 02135
Suffolk County (617) 254-1271
STEWARD MEDICAL GROUP, INC
Specialist
77 WARREN ST
BRIGHTON, MA 02135
Suffolk County (615) 467-4158
MS. JAHKIA YANCEY
Licensed Practical Nurse
77 WARREN ST
BRIGHTON, MA 02135
Suffolk County (617) 254-1271
STEPHEN OTTO KOVACS
Dermatology (MOHS-Micrographic Surgery)
77 WARREN ST, STE 353
BRIGHTON, MA 02135
Suffolk County (617) 787-0400

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 Jessica Jackson's NPI number?

The NPI number for Jessica Jackson is 1114076684. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Jessica Jackson located?

Jessica Jackson practices at 77 Warren St Building #9, Brighton, MA 02135. The listed phone number is (617) 254-0964.

What is Jessica 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 Jessica Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.