ROBERTA JACKSON LBSW
NPI 1821145137
Social Worker - Clinical in Columbia, SC

Q: What is Roberta Jackson's NPI number?

The NPI number for Roberta Jackson is 1821145137. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Q: What is Roberta Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Roberta Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 January 05, 2007

2100 BULL ST, COLUMBIA, SC 29201(803) 935-5572(803) 935-5566 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Roberta Jackson Lbsw NPPES

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

ROBERTA JACKSON LBSW (NPI 1821145137) is an individual clinical provider in Columbia, South Carolina, licensed in South Carolina (2120) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1821145137

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameROBERTA JACKSONCredential: LBSW

Location Address2100 BULL STColumbia, SC 29201-2104

Mailing AddressPo Box 11921Columbia, SC 29211-1921 · (803) 935-5572 · Fax (803) 935-5566

Phone(803) 935-5572

Fax(803) 935-5566

Sole ProprietorNo

Enumeration DateJanuary 5, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1821145137 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 SC · 2120

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.

2100 BULL ST, Columbia, SC 29201

Open in Google Maps ↗

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.

WILLIAM L. DAVIS MA

Counselor (Mental Health)