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MRS. JEANETTE JACKSON LCSW
NPI 1407019797
Social Worker - Clinical in Bristol, FL

Active since July 07, 2008
12422 NW G T REVELL RD, BRISTOL, FL 32321(850) 643-4600(850) 643-2061 Get Directions Write a Review

NPPES record last updated: July 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jeanette Jackson Lcsw NPPES

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

MRS. JEANETTE JACKSON LCSW (NPI 1407019797) is an individual clinical provider in Bristol, Florida, licensed in Florida (SW6714) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1407019797
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JEANETTE JACKSONCredential: LCSW
Location Address12422 NW G T REVELL RDBristol, FL 32321-3007
Mailing Address12422 Nw G T Revell RdBristol, FL 32321-3007 · (850) 643-4600 · Fax (850) 643-2061
Phone(850) 643-4600
Fax(850) 643-2061
Sole ProprietorYes
Enumeration DateJuly 7, 2008
✔ NPI 1407019797 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 FL · SW6714
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.
12422 NW G T REVELL RD, Bristol, FL 32321
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Other Providers at the Same Location NPPES 2

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

KATHRYN GRACE STRICKLAND M.S., LMHC, MT-BC
Counselor (Mental Health)
12422 NW G T REVELL RD
BRISTOL, FL 32321
Liberty County (850) 573-4786
KEYSTONE DJJ, LLC
Counselor
12422 NW G T REVELL RD
BRISTOL, FL 32321
Liberty County (850) 643-4600

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 Jeanette Jackson's NPI number?

The NPI number for Jeanette Jackson is 1407019797. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Where is Jeanette Jackson located?

Jeanette Jackson practices at 12422 NW G T Revell Rd, Bristol, FL 32321. The listed phone number is (850) 643-4600.

What is Jeanette 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 Jeanette Jackson was last updated on July 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.