KATHY JOY JACKSON MSSA, LSW
NPI 1740795285
Social Worker - Clinical in Cleveland, OH

Active since December 06, 2017
11401 LORAIN AVE, CLEVELAND, OH 44111(216) 416-4277 Get Directions Write a Review

NPPES record last updated: December 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathy Joy Jackson Mssa, Lsw NPPES

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

KATHY JOY JACKSON MSSA, LSW (NPI 1740795285) is an individual clinical provider in Cleveland, Ohio, licensed in Ohio (S11455) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1740795285
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHY JOY JACKSONCredential: MSSA, LSW
Location Address11401 LORAIN AVECleveland, OH 44111-5428
Mailing Address11401 Lorain AveCleveland, OH 44111-5428 · (216) 416-4277
Sole ProprietorNo
Enumeration DateDecember 6, 2017
NPI 1740795285 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 OH · S11455
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.
11401 LORAIN AVE, Cleveland, OH 44111

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
11401 LORAIN AVE
CLEVELAND, OH 44111
Licensed Practical Nurse
11401 LORAIN AVE
CLEVELAND, OH 44111
Marriage & Family Therapist
11401 LORAIN AVE
CLEVELAND, OH 44111
Counselor (Professional)
11401 LORAIN AVE
CLEVELAND, OH 44111
Registered Nurse
11401 LORAIN AVE
CLEVELAND, OH 44111
Licensed Practical Nurse
11401 LORAIN AVE
CLEVELAND, OH 44111
Counselor (Mental Health)
11401 LORAIN AVE
CLEVELAND, OH 44111
Social Worker
11401 LORAIN AVE
CLEVELAND, OH 44111

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 Kathy Jackson's NPI number?

The NPI number for Kathy Jackson is 1740795285. It was assigned to this individual provider in the NPPES registry on December 6, 2017.

Where is Kathy Jackson located?

Kathy Jackson practices at 11401 Lorain Ave, Cleveland, OH 44111. The listed phone number is (216) 416-4277.

What is Kathy 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 Kathy Jackson was last updated on December 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.