TIFFANY CHAVON JACKSON
NPI 1619893807
Social Worker - Clinical in Saint Louis, MO
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
Specialties & Licenses
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.