TIFFANY CHAVON JACKSON
NPI 1619893807
Social Worker - Clinical in Saint Louis, MO

Active since June 24, 2026
5022 POTOMAC ST, SAINT LOUIS, MO 63139(314) 688-0635 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tiffany Chavon Jackson NPPES

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

TIFFANY CHAVON JACKSON (NPI 1619893807) is an individual clinical provider in Saint Louis, Missouri, licensed in Missouri (2025044034) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1619893807
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTIFFANY CHAVON JACKSON
Location Address5022 POTOMAC STSaint Louis, MO 63139-1317
Mailing Address5022 Potomac StSaint Louis, MO 63139-1317 · (314) 688-0635
Sole ProprietorYes
Enumeration DateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1619893807 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 · 2025044034
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.
5022 POTOMAC ST, Saint Louis, MO 63139

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 Tiffany Jackson's NPI number?

The NPI number for Tiffany Jackson is 1619893807. It was assigned to this individual provider in the NPPES registry on June 24, 2026.

Where is Tiffany Jackson located?

Tiffany Jackson practices at 5022 Potomac St, Saint Louis, MO 63139. The listed phone number is (314) 688-0635.

What is Tiffany 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 Tiffany Jackson was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.