RICHARD CHAD JACKSON
NPI 1467671982
Social Worker - Clinical in Corbin, KY

Active since April 24, 2007
1 TRILLIUM WAY, CORBIN, KY 40701(606) 523-8521 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard Chad Jackson NPPES

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

RICHARD CHAD JACKSON (NPI 1467671982) is an individual clinical provider in Corbin, Kentucky, licensed in Kentucky (311) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1467671982
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRICHARD CHAD JACKSON
Location Address1 TRILLIUM WAYCorbin, KY 40701-8426
Mailing Address920 Bargo StLondon, KY 40741-2710 · (606) 878-7658
Sole ProprietorNo
Enumeration DateApril 24, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1467671982 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 KY · 311
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.
1 TRILLIUM WAY, Corbin, KY 40701

Other Identifiers 2

OtherC62048KY · Cumberland Healthcare Inc
Medicare ID-Type Unspecified1250405KY

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.

Psychiatry & Neurology (Psychiatry)
1 TRILLIUM WAY
CORBIN, KY 40701
Urology
1 TRILLIUM WAY, GROUND FLOOR ENTRANCE 5
CORBIN, KY 40701
Pharmacist
1 TRILLIUM WAY
CORBIN, KY 40701
Nurse Anesthetist, Certified Registered
1 TRILLIUM WAY
CORBIN, KY 40701
Internal Medicine (Hematology & Oncology)
1 TRILLIUM WAY, BAPTIST HEALTH CANCER CENTER
CORBIN, KY 40701
Emergency Medicine
1 TRILLIUM WAY
CORBIN, KY 40701
Physician Assistant (Medical)
1 TRILLIUM WAY
CORBIN, KY 40701
Social Worker (Clinical)
1 TRILLIUM WAY
CORBIN, KY 40701

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 Richard Jackson's NPI number?

The NPI number for Richard Jackson is 1467671982. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Richard Jackson located?

Richard Jackson practices at 1 Trillium Way, Corbin, KY 40701. The listed phone number is (606) 523-8521.

What is Richard 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 Richard Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.