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EBONY JACKSON LCSW
NPI 1568025807
Social Worker - Clinical in Florence, KY

Active since April 22, 2019
1655 BURLINGTON PIKE STE 101, FLORENCE, KY 41042(859) 992-2692 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2021, Apr 22, 2019 (2 updates tracked since 2019).

About Ebony Jackson Lcsw NPPES

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

EBONY JACKSON LCSW (NPI 1568025807) is an individual clinical provider in Florence, Kentucky, licensed in Kentucky (253805) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1568025807
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEBONY JACKSONCredential: LCSW
Location Address1655 BURLINGTON PIKE STE 101Florence, KY 41042-4909
Mailing Address6060 Celtic Ash AveFlorence, KY 41042-1795 · (859) 209-6823
Phone(859) 992-2692
Sole ProprietorYes
Enumeration DateApril 22, 2019
Last NPPES UpdateJanuary 14, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
✔ NPI 1568025807 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 · 253805
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.
1655 BURLINGTON PIKE STE 101, Florence, KY 41042
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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.

HEALING BRIDGE BEHAVIORAL HEALTH LLC
Social Worker (Clinical)
1655 BURLINGTON PIKE STE 101
FLORENCE, KY 41042
Boone County (210) 845-5726
STEPHANIE L FISTER LPCA
Counselor (Mental Health)
1655 BURLINGTON PIKE STE 101
FLORENCE, KY 41042
Boone County (859) 342-6444

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 Ebony Jackson's NPI number?

The NPI number for Ebony Jackson is 1568025807. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is Ebony Jackson located?

Ebony Jackson practices at 1655 Burlington Pike Ste 101, Florence, KY 41042. The listed phone number is (859) 992-2692.

What is Ebony 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 Ebony Jackson was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.