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KELLY FAYE JACKSON LCSW
NPI 1598180630
Social Worker - Clinical in Columbia, MO

Active since February 26, 2014
409 VANDIVER DR, BUILDING 4, SUITE 102, COLUMBIA, MO 65202(573) 289-0792(573) 442-7505 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Faye Jackson Lcsw NPPES

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

KELLY FAYE JACKSON LCSW (NPI 1598180630) is an individual clinical provider in Columbia, Missouri, licensed in Missouri (2015020177) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1598180630
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY FAYE JACKSONCredential: LCSW
Location Address409 VANDIVER DR, BUILDING 4, SUITE 102Columbia, MO 65202-3754
Mailing Address3007 Dahlia DrColumbia, MO 65202-3862 · (660) 238-3154 · Fax (573) 442-7505
Phone(573) 289-0792
Fax(573) 442-7505
Sole ProprietorYes
Enumeration DateFebruary 26, 2014
Last NPPES UpdateNovember 30, 2016
✔ NPI 1598180630 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 MO · 2015020177
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.
409 VANDIVER DR, Columbia, MO 65202
Open in Google Maps ↗

Other Identifiers 2

Other133585346MO · Caqh
Other2015020177MO · Lcsw License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 7

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

MS. VICKI LOUISE BUSS MSW
Social Worker (Clinical)
409 VANDIVER DR, BLDG 6; SUITE 102
COLUMBIA, MO 65202
Boone County (573) 442-8330
RACHEL HOWELL MSW, LCSW, RPT
Social Worker (Clinical)
409 VANDIVER DR, BUILDING 4 SUITE 100
COLUMBIA, MO 65202
Boone County (573) 319-2000
DR. CHARLES F MATTINGLY DDS
Dentist (General Practice)
409 VANDIVER DR, BLDG 3 SUITE 102
COLUMBIA, MO 65202
Boone County (573) 499-1699
MELISSA SMYSER M.S.W, L.M.S.W
Social Worker
409 VANDIVER DR, BUILDING 5 STE 203
COLUMBIA, MO 65202
Boone County (573) 442-9916
MR. BEN FORREST BATSON DDS
Dentist (General Practice)
409 VANDIVER DR, BLDG 4 STE 101
COLUMBIA, MO 65202
Boone County (573) 875-7071
BODYMIND CONNECTIONS LLC
Social Worker (Clinical)
409 VANDIVER DR, BLDG 6 SUITE 104
COLUMBIA, MO 65202
Boone County (573) 442-5475
MRS. BETH R PARKER LCSW, ACSW
Social Worker (Clinical)
409 VANDIVER DR, BLDG 6 SUITE 104
COLUMBIA, MO 65202
Boone County (573) 442-5475

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 1598180630. It was assigned to this individual provider in the NPPES registry on February 26, 2014.

Where is Kelly Jackson located?

Kelly Jackson practices at 409 Vandiver Dr Building 4, Suite 102, Columbia, MO 65202. The listed phone number is (573) 289-0792.

What is Kelly Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Kelly Jackson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Kelly Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Jackson was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.