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JACKIE LYNN ANDERSON
NPI 1477072437
Social Worker - Clinical in Oakland, CA

Active since September 11, 2017
2116 BROADWAY, OAKLAND, CA 94612(510) 899-4100(510) 899-4110 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 11, 2017 (2 updates tracked since 2017).

About Jackie Lynn Anderson NPPES

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

JACKIE LYNN ANDERSON (NPI 1477072437) is an individual clinical provider in Oakland, California and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1477072437
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACKIE LYNN ANDERSON
Location Address2116 BROADWAYOakland, CA 94612-2310
Mailing Address2116 BroadwayOakland, CA 94612-2310 · (510) 899-4100 · Fax (510) 899-4110
Phone(510) 899-4100
Fax(510) 899-4110
Sole ProprietorNo
Enumeration DateSeptember 11, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1477072437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2116 BROADWAY, Oakland, CA 94612
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Other Providers at the Same Location NPPES 16

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

IRENE STEWART
Case Manager/Care Coordinator
2116 BROADWAY
OAKLAND, CA 94612
Alameda County (510) 271-8844
MEAGHAN FAITH WENZEL
Social Worker
2116 BROADWAY
OAKLAND, CA 94612
Alameda County (510) 899-4100
GAIL CLOUGH
Social Worker
2116 BROADWAY
OAKLAND, CA 94612
Alameda County (510) 899-4101
JENNIFER SPEVAK
Social Worker (Clinical)
2116 BROADWAY
OAKLAND, CA 94612
Alameda County (510) 899-4110
GEORGE PROPER
Case Manager/Care Coordinator
2116 BROADWAY
OAKLAND, CA 94612
Alameda County (510) 271-8844
FRANCISCO RODRIGUEZ BAUTISTA
Marriage & Family Therapist
2116 BROADWAY
OAKLAND, CA 94612
Alameda County (510) 227-0255
BUILDING OPPORTUNITIES FOR SELF-SUFFICIENCY
Case Management
2116 BROADWAY
OAKLAND, CA 94612
Alameda County (510) 899-4100
MARSHA VAUGHN LCSW
Social Worker (Clinical)
2116 BROADWAY
OAKLAND, CA 94612
Alameda County (510) 899-4106

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 Jackie Anderson's NPI number?

The NPI number for Jackie Anderson is 1477072437. It was assigned to this individual provider in the NPPES registry on September 11, 2017.

Where is Jackie Anderson located?

Jackie Anderson practices at 2116 Broadway, Oakland, CA 94612. The listed phone number is (510) 899-4100.

What is Jackie Anderson'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 Jackie Anderson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.