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KELLY JACKSON
NPI 1588036263
Social Worker - Clinical in Gainesville, FL

Active since October 21, 2015
111 SE 1ST AVE, STE 130, GAINESVILLE, FL 32601(352) 246-5490 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Jackson NPPES

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

KELLY JACKSON (NPI 1588036263) is an individual clinical provider in Gainesville, Florida, licensed in Florida (SW16096) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1588036263
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY JACKSON
Location Address111 SE 1ST AVE, STE 130Gainesville, FL 32601-9913
Mailing Address2937 Ne 16th TerGainesville, FL 32609-3234
Phone(352) 246-5490
Sole ProprietorYes
Enumeration DateOctober 21, 2015
Last NPPES UpdateApril 7, 2021
NPPES CertifiedApril 7, 2021
✔ NPI 1588036263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in FL · SW16096✔ Licensed in FL · ISW 9557
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.
111 SE 1ST AVE, Gainesville, FL 32601
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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.

N R HANDS
In Home Supportive Care
111 SE 1ST AVE, BUILDING 140 SUITE 5
GAINESVILLE, FL 32601
Alachua County (352) 225-2035
DR. AMANDA CELESTE ALEXANDER PHD
Psychologist (Counseling)
111 SE 1ST AVE
GAINESVILLE, FL 32601
Alachua County (352) 448-1365

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 Kelly Jackson's NPI number?

The NPI number for Kelly Jackson is 1588036263. It was assigned to this individual provider in the NPPES registry on October 21, 2015.

Where is Kelly Jackson located?

Kelly Jackson practices at 111 SE 1st Ave Ste 130, Gainesville, FL 32601. The listed phone number is (352) 246-5490.

What is Kelly 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 Kelly Jackson was last updated on April 7, 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.