1. Home
  2. Directory
  3. Alabama
  4. Russellville
  5. Social Worker
  6. NPI Profile

DOMENICA RAEGENE NYCOLE JACKSON
NPI 1922870179
Social Worker in Russellville, AL

Active since October 23, 2023
12260 HIGHWAY 43, RUSSELLVILLE, AL 35653(256) 710-8558 Get Directions Write a Review

NPPES record last updated: March 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Domenica Raegene Nycole Jackson NPPES

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

DOMENICA RAEGENE NYCOLE JACKSON (NPI 1922870179) is an individual social worker in Russellville, Alabama, licensed in Alabama (6371G) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1922870179
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameDOMENICA RAEGENE NYCOLE JACKSON
Location Address12260 HIGHWAY 43Russellville, AL 35653-4737
Mailing Address238 Lewis StMuscle Shoals, AL 35661-1630 · (256) 710-8558
Phone(256) 710-8558
Sole ProprietorNo
Enumeration DateOctober 23, 2023
Last NPPES UpdateMarch 3, 2024
NPPES CertifiedMarch 3, 2024
✔ NPI 1922870179 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 AL · 6371G
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.
12260 HIGHWAY 43, Russellville, AL 35653
Open in Google Maps ↗

Other Providers at the Same Location NPPES 6

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

MRS. LETANNDRA THOMPSON LMSW
Social Worker
12260 HIGHWAY 43
RUSSELLVILLE, AL 35653
Franklin County (256) 277-9440
MELANIE C DANIELOWICZ MA, LPC
Counselor (Professional)
12260 HIGHWAY 43
RUSSELLVILLE, AL 35653
Franklin County (562) 277-9440
MRS. CAITLIN MCCOOL ALLEN LMSW
Social Worker
12260 HIGHWAY 43
RUSSELLVILLE, AL 35653
Franklin County (256) 277-9440
KAYLA LODEN LMSW
Social Worker
12260 HIGHWAY 43
RUSSELLVILLE, AL 35653
Franklin County (256) 277-9440
LAQUITA UNDERWOOD
Social Worker
12260 HIGHWAY 43
RUSSELLVILLE, AL 35653
Franklin County (256) 277-9440
MANDY MARIE WINSTEAD
Counselor
12260 HIGHWAY 43
RUSSELLVILLE, AL 35653
Franklin County (256) 277-9440

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 Domenica Jackson's NPI number?

The NPI number for Domenica Jackson is 1922870179. It was assigned to this individual provider in the NPPES registry on October 23, 2023.

Where is Domenica Jackson located?

Domenica Jackson practices at 12260 Highway 43, Russellville, AL 35653. The listed phone number is (256) 710-8558.

What is Domenica 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 Domenica Jackson was last updated on March 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.