DERICKA JACKSON
NPI 1700558871
Social Worker in Tampa, FL

Q: What is Dericka Jackson's NPI number?

The NPI number for Dericka Jackson is 1700558871. It was assigned to this individual provider in the NPPES registry on September 28, 2021.

Q: What is Dericka Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dericka Jackson was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 28, 2021

4440 BASS ST, TAMPA, FL 33617(813) 384-1568 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dericka Jackson NPPES

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

DERICKA JACKSON (NPI 1700558871) is an individual social worker in Tampa, Florida, licensed in Florida (15603) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1700558871

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameDERICKA JACKSON

Location Address4440 BASS STTampa, FL 33617-8202

Mailing Address4440 Bass StTampa, FL 33617-8202 · (813) 384-1568

Phone(813) 384-1568

Sole ProprietorYes

Enumeration DateSeptember 28, 2021

NPPES CertifiedSeptember 28, 2021

✔ NPI 1700558871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in FL · 15603

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.

4440 BASS ST, Tampa, FL 33617

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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 Dericka Jackson's NPI number?

The NPI number for Dericka Jackson is 1700558871. It was assigned to this individual provider in the NPPES registry on September 28, 2021.

Where is Dericka Jackson located?

Dericka Jackson practices at 4440 Bass St, Tampa, FL 33617. The listed phone number is (813) 384-1568.

What is Dericka 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 Dericka Jackson was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.