IndividualActive
Carolyn Jackson, LCSW
NPI 1063771996 · Clinical Social Worker · Tampa, FL
Carolyn Jackson, LCSW is a Clinical Social Worker provider in Tampa, FL (NPI 1063771996).
Provider details
- NPI number
- 1063771996
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- SW10436 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
200 S Hoover Blvd
Suite 170
Tampa, FL 33609-3540
Phone: (727) 692-7096
Street-level locationGet directions
Mailing address
Po Box 320331
Tampa, FL 33679-2331
Registry dates
- Enumerated
- 2012-05-12
- Last updated
- 2012-05-12
Frequently asked questions
- What is Carolyn Jackson's NPI number?
- Carolyn Jackson's National Provider Identifier (NPI) is 1063771996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carolyn Jackson's specialty?
- Carolyn Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Carolyn Jackson located?
- Carolyn Jackson's practice location on file with NPPES is 200 S Hoover Blvd, Tampa, FL 33609-3540.
- What is Carolyn Jackson's phone number?
- The practice phone number listed in the NPPES registry for Carolyn Jackson is (727) 692-7096.
- Is Carolyn Jackson's NPI active?
- Yes — Carolyn Jackson's NPI (1063771996) is active in the NPPES registry as of the last update on 2012-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.