MRS. KIMBERLY S JACKSON MSW
NPI 1801125638
Social Worker in Daytona Beach, FL

Q: What is Kimberly Jackson's NPI number?

The NPI number for Kimberly Jackson is 1801125638. It was assigned to this individual provider in the NPPES registry on December 7, 2009. The provider is also known as Miss Kimberly S Harvey Msw.

Q: What is Kimberly 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 Kimberly Jackson was last updated on March 13, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 07, 2009

841 JIMMY ANN DR, DAYTONA BEACH, FL 32117(386) 425-3953(386) 258-4912 Get Directions Write a Review

NPPES record last updated: March 13, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Kimberly S Jackson Msw NPPES

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

MRS. KIMBERLY S JACKSON MSW (NPI 1801125638) is an individual social worker in Daytona Beach, Florida, licensed in Florida (ISW 3000) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1801125638

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMRS. KIMBERLY S JACKSONCredential: MSW

Location Address841 JIMMY ANN DRDaytona Beach, FL 32117-4583

Mailing Address841 Jimmy Ann DrDaytona Beach, FL 32117-4583 · (386) 425-3953 · Fax (386) 258-4912

Phone(386) 425-3953

Fax(386) 258-4912

Sole ProprietorNo

Enumeration DateDecember 7, 2009

Last NPPES UpdateMarch 13, 2013

✔ NPI 1801125638 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 · ISW 3000

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.

841 JIMMY ANN DR, Daytona Beach, FL 32117

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Other Names 1

Former Name (1)Miss Kimberly S Harvey Msw

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.

MR. MARK J. MONTEITH LCSW

Social Worker (Clinical)