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JAY BRIAN JACKSON LCSW
NPI 1730847534
Social Worker - Clinical in Russellville, MO

Active since November 30, 2021
13722 JEFFERSON RD, RUSSELLVILLE, MO 65074(573) 782-0145 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jay Brian Jackson Lcsw NPPES

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

JAY BRIAN JACKSON LCSW (NPI 1730847534) is an individual clinical provider in Russellville, Missouri, licensed in Missouri (2002031992) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1730847534
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJAY BRIAN JACKSONCredential: LCSW
Location Address13722 JEFFERSON RDRussellville, MO 65074-2006
Mailing Address13722 Jefferson RdRussellville, MO 65074-2006 · (573) 338-2861
Phone(573) 782-0145
Sole ProprietorYes
Enumeration DateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
✔ NPI 1730847534 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 · 2002031992
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.
13722 JEFFERSON RD, Russellville, MO 65074
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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 Jay Jackson's NPI number?

The NPI number for Jay Jackson is 1730847534. It was assigned to this individual provider in the NPPES registry on November 30, 2021.

Where is Jay Jackson located?

Jay Jackson practices at 13722 Jefferson Rd, Russellville, MO 65074. The listed phone number is (573) 782-0145.

What is Jay 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 Jay Jackson was last updated on November 30, 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.