TRACEY JACKSON
NPI 1639532765
Social Worker in Philadelphia, PA

Active since April 05, 2016
5937 LARCHWOOD AVE, PHILADELPHIA, PA 19143(267) 303-5253 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tracey Jackson NPPES

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

TRACEY JACKSON (NPI 1639532765) is an individual social worker in Philadelphia, Pennsylvania and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1639532765
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameTRACEY JACKSON
Location Address5937 LARCHWOOD AVEPhiladelphia, PA 19143-1115
Mailing Address5937 Larchwood AvePhiladelphia, PA 19143-1115 · (267) 303-5253
Sole ProprietorYes
Enumeration DateApril 5, 2016
NPI 1639532765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
5937 LARCHWOOD AVE, Philadelphia, PA 19143

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 Tracey Jackson's NPI number?

The NPI number for Tracey Jackson is 1639532765. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Tracey Jackson located?

Tracey Jackson practices at 5937 Larchwood Ave, Philadelphia, PA 19143. The listed phone number is (267) 303-5253.

What is Tracey Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Tracey Jackson was last updated on April 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.