KENEISHA JACKSON
NPI 1427680495
Social Worker in San Jose, CA

Active since February 07, 2020
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112(408) 918-2682 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2023, Feb 7, 2020 (2 updates tracked since 2020).

About Keneisha Jackson NPPES

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

KENEISHA JACKSON (NPI 1427680495) is an individual social worker in San Jose, California, licensed in California (ACSW120109) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1427680495
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKENEISHA JACKSON
Location Address160 E VIRGINIA ST STE 100San Jose, CA 95112-5865
Mailing Address27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5326
Sole ProprietorNo
Enumeration DateFebruary 7, 2020
Last NPPES UpdateJanuary 17, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
NPI 1427680495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in CA · ACSW120109
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.
160 E VIRGINIA ST STE 100, San Jose, CA 95112

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Counselor (Mental Health)
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Peer Specialist
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Counselor (Mental Health)
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Counselor (Professional)
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Dentist
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Counselor (Mental Health)
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Counselor (Addiction (Substance Use Disorder))
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112

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 Keneisha Jackson's NPI number?

The NPI number for Keneisha Jackson is 1427680495. It was assigned to this individual provider in the NPPES registry on February 7, 2020.

Where is Keneisha Jackson located?

Keneisha Jackson practices at 160 E Virginia St Ste 100, San Jose, CA 95112. The listed phone number is (408) 918-2682.

What is Keneisha 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 Keneisha Jackson was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.