IndividualActive
Dominique Jackson, MSW, RCSWI
NPI 1003756354 · Marriage & Family Therapist · Midway, FL
Provider details
- NPI number
- 1003756354
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- MSW, RCSWI
- Sex
- Female
- Sole proprietor
- Yes
- License
- ISW22976 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
71 James Hinson Dr
Midway, FL 32343-2264
Phone: (850) 405-5068
Street-level locationGet directions
Mailing address
71 James Hinson Dr
Midway, FL 32343-2264
Registry dates
- Enumerated
- 2026-03-30
- Last updated
- 2026-03-30
- Certified
- 2026-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.