MR. ANTIMOORE H. JACKSON LCSW
NPI 1376756098
Social Worker - Clinical in Little Rock, AR

Active since May 08, 2007
14617 SARA DR, LITTLE ROCK, AR 72206(501) 952-5275(501) 888-3576 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Antimoore H. Jackson Lcsw NPPES

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

MR. ANTIMOORE H. JACKSON LCSW (NPI 1376756098) is an individual clinical provider in Little Rock, Arkansas, licensed in Arkansas (1568-C) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1376756098
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. ANTIMOORE H. JACKSONCredential: LCSW
Location Address14617 SARA DRLittle Rock, AR 72206-5410
Mailing Address14617 Sara DrLittle Rock, AR 72206-5410 · (501) 952-5275 · Fax (501) 888-3576
Fax(501) 888-3576
Sole ProprietorYes
Enumeration DateMay 8, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1376756098 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 AR · 1568-C
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.

14617 SARA DR, Little Rock, AR 72206

Accepted Insurance

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
14617 SARA DR
LITTLE ROCK, AR 72206

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 Antimoore Jackson's NPI number?

The NPI number for Antimoore Jackson is 1376756098. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Antimoore Jackson located?

Antimoore Jackson practices at 14617 Sara Dr, Little Rock, AR 72206. The listed phone number is (501) 952-5275.

What is Antimoore Jackson's specialty?

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

What insurance does Antimoore Jackson accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Antimoore 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 Antimoore Jackson was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.