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CHARLES EDWARD JACKSON JR.
NPI 1457669848
Social Worker - Clinical in N.las Vegas, NV

Active since September 20, 2010
1407 HEALING WATER LANE, N.LAS VEGAS, NV 89031(702) 485-0883 Get Directions Write a Review

NPPES record last updated: September 20, 2010. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Charles Edward Jackson Jr. NPPES

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

CHARLES EDWARD JACKSON JR. (NPI 1457669848) is an individual clinical provider in N.las Vegas, Nevada and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1457669848
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCHARLES EDWARD JACKSON JR.
Location Address1407 HEALING WATER LANEN.las Vegas, NV 89031
Mailing Address1407 Healing Waters LnN Las Vegas, NV 89031-1803
Phone(702) 485-0883
Sole ProprietorNo
Enumeration DateSeptember 20, 2010
✔ NPI 1457669848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedPsychologist · RehabilitationTaxonomy 103TR0400X
1407 HEALING WATER LANE, N.las Vegas, NV 89031
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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 Charles Jackson's NPI number?

The NPI number for Charles Jackson is 1457669848. It was assigned to this individual provider in the NPPES registry on September 20, 2010.

Where is Charles Jackson located?

Charles Jackson practices at 1407 Healing Water Lane, N.Las Vegas, NV 89031. The listed phone number is (702) 485-0883.

What is Charles 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 Charles Jackson was last updated on September 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.