IndividualActive
Kim Jackson, LISW
NPI 1003126699 · Clinical Social Worker · Cleveland, OH
Provider details
- NPI number
- 1003126699
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LISW
- Sex
- Female
- Sole proprietor
- No
- License
- I2506226 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3500 Carnegie Ave
Cleveland, OH 44115-2641
Phone: (440) 260-8554
Street-level locationGet directions
Mailing address
3500 Carnegie Ave
Cleveland, OH 44115-2641
Registry dates
- Enumerated
- 2010-10-15
- Last updated
- 2025-09-22
- Certified
- 2025-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.