1. Home
  2. Directory
  3. Rhode Island
  4. Providence
  5. Social Worker
  6. NPI Profile

KIMBERLY LYNN JACKSON LCSW
NPI 1841315975
Social Worker - Clinical in Providence, RI

Active since March 20, 2007
1570 WESTMINSTER ST, PROVIDENCE, RI 02909(215) 607-8480(866) 315-9450 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Lynn Jackson Lcsw NPPES

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

KIMBERLY LYNN JACKSON LCSW (NPI 1841315975) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (ISW01815) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1841315975
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY LYNN JACKSONCredential: LCSW
Location Address1570 WESTMINSTER STProvidence, RI 02909
Mailing Address1500 Chestnut St., Suite 2 #1497Philadelphia, PA 19102 · (401) 575-0177
Phone(215) 607-8480
Fax(866) 315-9450
Sole ProprietorNo
Enumeration DateMarch 20, 2007
Last NPPES UpdateAugust 2, 2022
NPPES CertifiedAugust 2, 2022
✔ NPI 1841315975 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 RI · ISW01815
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.
1570 WESTMINSTER ST, Providence, RI 02909
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

AMANDA ZIMMER
Social Worker (Clinical)
1570 WESTMINSTER ST
PROVIDENCE, RI 02909
Providence County (917) 617-4832
BRITTANY LAVIGNE
Marriage & Family Therapist
1570 WESTMINSTER ST
PROVIDENCE, RI 02909
Providence County (401) 489-5513
DR. LAURA KAVANAGH PH.D.
Psychologist (Clinical)
1570 WESTMINSTER ST
PROVIDENCE, RI 02909
Providence County (401) 573-2042
MELISSA E MEYER LMHC, ATR
Counselor (Mental Health)
1570 WESTMINSTER ST, #5
PROVIDENCE, RI 02909
Providence County (516) 359-1151

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 Kimberly Jackson's NPI number?

The NPI number for Kimberly Jackson is 1841315975. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Kimberly Jackson located?

Kimberly Jackson practices at 1570 Westminster St, Providence, RI 02909. The listed phone number is (215) 607-8480.

What is Kimberly 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 Kimberly Jackson was last updated on August 2, 2022. 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.