PHYLLIS JACKSON LISW
NPI 1891133898
Social Worker in Saint Louis, MO

Active since June 12, 2013
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141(800) 325-3982(877) 685-9880 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phyllis Jackson Lisw NPPES

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

PHYLLIS JACKSON LISW (NPI 1891133898) is an individual social worker in Saint Louis, Missouri, licensed in New Mexico (I-06925) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1891133898
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NamePHYLLIS JACKSONCredential: LISW
Location Address12647 OLIVE BLVD, SUITE 600Saint Louis, MO 63141-6393
Mailing Address12647 Olive Blvd, Suite 600Saint Louis, MO 63141-6393 · (800) 325-3982 · Fax (877) 685-9880
Fax(877) 685-9880
Sole ProprietorNo
Enumeration DateJune 12, 2013
NPI 1891133898 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 NM · I-06925
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.

12647 OLIVE BLVD, Saint Louis, MO 63141

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.

Behavior Analyst
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Social Worker (Clinical)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Social Worker (Clinical)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Psychologist
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Radiologic Technologist
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Nurse Practitioner (Neonatal)
12647 OLIVE BLVD
SAINT LOUIS, MO 63141
Registered Nurse
12647 OLIVE BLVD
SAINT LOUIS, MO 63141
Family Medicine
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141

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 Phyllis Jackson's NPI number?

The NPI number for Phyllis Jackson is 1891133898. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Where is Phyllis Jackson located?

Phyllis Jackson practices at 12647 Olive Blvd Suite 600, Saint Louis, MO 63141. The listed phone number is (800) 325-3982.

What is Phyllis Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Phyllis Jackson was last updated on June 12, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.