Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NICHOLE JACKSON LCSW
NPI 1205755386
Social Worker - Clinical in Irvington, NJ

Active since July 13, 2026
75 NORWOOD AVE, IRVINGTON, NJ 07111(917) 617-9343 Get Directions Write a Review

NPPES record added: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nichole Jackson Lcsw NPPES

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

NICHOLE JACKSON LCSW (NPI 1205755386) is an individual clinical provider in Irvington, New Jersey, licensed in New Jersey (44SC05966900) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1205755386
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICHOLE JACKSONCredential: LCSW
Location Address75 NORWOOD AVEIrvington, NJ 07111-4619
Mailing Address75 Norwood AveIrvington, NJ 07111-4619
Sole ProprietorYes
Enumeration DateJuly 13, 2026
NPPES CertifiedJuly 13, 2026
NPI 1205755386 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 NJ · 44SC05966900
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 NORWOOD AVE, Irvington, NJ 07111

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 Nichole Jackson's NPI number?

The NPI number for Nichole Jackson is 1205755386. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Where is Nichole Jackson located?

Nichole Jackson practices at 75 Norwood Ave, Irvington, NJ 07111. The listed phone number is (917) 617-9343.

What is Nichole 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 Nichole Jackson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.