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AMITY JACKSON LCSW
NPI 1194414698
Social Worker - Clinical in Portland, ME

Active since May 02, 2023
75 PEARL ST STE 470, PORTLAND, ME 04101(207) 619-3356(207) 300-6085 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amity Jackson Lcsw NPPES

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

AMITY JACKSON LCSW (NPI 1194414698) is an individual clinical provider in Portland, Maine, licensed in Maine (LC22099) and active in the NPI registry since May 2023. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194414698
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMITY JACKSONCredential: LCSW
Location Address75 PEARL ST STE 470Portland, ME 04101-7122
Mailing Address75 Pearl St Ste 470Portland, ME 04101-7122 · (207) 619-3356 · Fax (207) 300-6085
Phone(207) 619-3356
Fax(207) 300-6085
Sole ProprietorYes
Enumeration DateMay 2, 2023
NPPES CertifiedMay 2, 2023
✔ NPI 1194414698 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 ME · LC22099
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.
75 PEARL ST STE 470, Portland, ME 04101
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Secondary Practice Locations 2

Location 122 Free St Ste 402Portland, ME 04101-3900 · Phone (207) 619-3356 · Fax (207) 300-6085
Location 2261 Main St Ste 10Yarmouth, ME 04096-6755 · Phone (207) 619-3356 · Fax (207) 300-6085

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

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 Amity Jackson's NPI number?

The NPI number for Amity Jackson is 1194414698. It was assigned to this individual provider in the NPPES registry on May 2, 2023.

Where is Amity Jackson located?

Amity Jackson practices at 75 Pearl St Ste 470, Portland, ME 04101. The listed phone number is (207) 619-3356.

What is Amity Jackson's specialty?

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

What insurance does Amity Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Amity Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amity Jackson was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.