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DOMINIQUE JACKSON
NPI 1205400561
Social Worker in Phoenix, AZ

Active since May 19, 2021
1705 E CARSON RD, PHOENIX, AZ 85042(480) 226-5734 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominique Jackson NPPES

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

DOMINIQUE JACKSON (NPI 1205400561) is an individual social worker in Phoenix, Arizona and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1205400561
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameDOMINIQUE JACKSON
Location Address1705 E CARSON RDPhoenix, AZ 85042-5748
Mailing AddressPo Box 16906Phoenix, AZ 85011-6906
Phone(480) 226-5734
Sole ProprietorNo
Enumeration DateMay 19, 2021
NPPES CertifiedMay 19, 2021
✔ NPI 1205400561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
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.
1705 E CARSON RD, Phoenix, AZ 85042
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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 Dominique Jackson's NPI number?

The NPI number for Dominique Jackson is 1205400561. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Where is Dominique Jackson located?

Dominique Jackson practices at 1705 E Carson Rd, Phoenix, AZ 85042. The listed phone number is (480) 226-5734.

What is Dominique 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 Dominique Jackson was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.