SUMMER JACKSON LCSW
NPI 1588301022
Social Worker - Clinical in Berkeley, CA

Active since May 17, 2022
725 NEILSON ST, BERKELEY, CA 94707(510) 406-4496 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Summer Jackson Lcsw NPPES

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

SUMMER JACKSON LCSW (NPI 1588301022) is an individual clinical provider in Berkeley, California, licensed in California (LCSW71611) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1588301022
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUMMER JACKSONCredential: LCSW
Location Address725 NEILSON STBerkeley, CA 94707-1813
Mailing Address1748 Shattuck Ave, Pmb 154Berkeley, CA 94709-1720
Sole ProprietorYes
Enumeration DateMay 17, 2022
NPPES CertifiedMay 17, 2022
NPI 1588301022 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 CA · LCSW71611
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.
725 NEILSON ST, Berkeley, CA 94707

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 Summer Jackson's NPI number?

The NPI number for Summer Jackson is 1588301022. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Where is Summer Jackson located?

Summer Jackson practices at 725 Neilson St, Berkeley, CA 94707. The listed phone number is (510) 406-4496.

What is Summer 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 Summer Jackson was last updated on May 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.