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JACKSON INITIATIVE LLC
NPI 1235090515
Social Worker - Clinical in Vallejo, CA

Active since November 18, 2025
629 MARIN ST UNIT 4114, VALLEJO, CA 94590(707) 832-0174 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jackson Initiative Llc NPPES

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

JACKSON INITIATIVE LLC (NPI 1235090515) is a healthcare organization registered as a clinical in Vallejo, California and active in the NPI registry since November 2025. The organization lists Amelia G Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1235090515
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameJACKSON INITIATIVE LLC
Location Address629 MARIN ST UNIT 4114Vallejo, CA 94590-8419
Mailing Address629 Marin St Unit 4114Vallejo, CA 94590-8419 · (707) 832-0174
Phone(707) 832-0174
Organization SubpartNo
Authorized OfficialAmelia G JacksonOwner · (707) 832-0174
Enumeration DateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1235090515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X
629 MARIN ST UNIT 4114, Vallejo, CA 94590
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. AMELIA G JACKSON LCSW
Social Worker (Clinical)
629 MARIN ST UNIT 4114
VALLEJO, CA 94590
Solano County (707) 832-0174

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 Jackson Initiative LLC's NPI number?

The NPI number for Jackson Initiative LLC is 1235090515. It was assigned to this organization in the NPPES registry on November 18, 2025.

Where is Jackson Initiative LLC located?

Jackson Initiative LLC is located at 629 Marin St Unit 4114, Vallejo, CA 94590. The listed phone number is (707) 832-0174.

What is Jackson Initiative LLC'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 Jackson Initiative LLC was last updated on November 18, 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.