MS. TAHIRA NAOMI JACKSON LCSW
NPI 1912797762
Social Worker - Clinical in Philadelphia, PA

Active since May 07, 2025
1626 LOCUST ST, PHILADELPHIA, PA 19103(646) 941-7645 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Tahira Naomi Jackson Lcsw NPPES

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

MS. TAHIRA NAOMI JACKSON LCSW (NPI 1912797762) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (CW025834) and active in the NPI registry since May 2025. She maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1912797762
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. TAHIRA NAOMI JACKSONCredential: LCSW
Location Address1626 LOCUST STPhiladelphia, PA 19103-6305
Mailing Address1626 Locust StPhiladelphia, PA 19103-6305 · (215) 406-0795
Sole ProprietorYes
Enumeration DateMay 7, 2025
NPPES CertifiedMay 6, 2025
NPI 1912797762 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 PA · CW025834
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.
1626 LOCUST ST, Philadelphia, PA 19103

Secondary Practice Location 1

Location 1322 N Shore DrPittsburgh, PA 15212-5875 · Phone (646) 941-7645

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Psychiatric/Mental Health)
1626 LOCUST ST
PHILADELPHIA, PA 19103
Nurse Practitioner (Psychiatric/Mental Health)
1626 LOCUST ST
PHILADELPHIA, PA 19103
Technician, Pathology (Phlebotomy)
1626 LOCUST ST
PHILADELPHIA, PA 19103
Technician, Pathology (Phlebotomy)
1626 LOCUST ST
PHILADELPHIA, PA 19103
Counselor (Mental Health)
1626 LOCUST ST
PHILADELPHIA, PA 19103
Counselor (Mental Health)
1626 LOCUST ST
PHILADELPHIA, PA 19103
Nurse Practitioner (Family)
1626 LOCUST ST
PHILADELPHIA, PA 19103
Technician, Pathology (Phlebotomy)
1626 LOCUST ST
PHILADELPHIA, PA 19103

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 Tahira Jackson's NPI number?

The NPI number for Tahira Jackson is 1912797762. It was assigned to this individual provider in the NPPES registry on May 7, 2025.

Where is Tahira Jackson located?

Tahira Jackson practices at 1626 Locust St, Philadelphia, PA 19103. The listed phone number is (646) 941-7645.

What is Tahira 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 Tahira Jackson was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.