IndividualActive
Angela Jackson, LCSW-S
NPI 1093394694 · Clinical Social Worker · Kyle, TX
Provider details
- NPI number
- 1093394694
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW-S
- Sex
- Female
- Sole proprietor
- Yes
- License
- 61721 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
915 Goldenrod St
Kyle, TX 78640-5459
Phone: (512) 262-8126
Approximate (ZIP-level) locationGet directions
Mailing address
915 Goldenrod St
Kyle, TX 78640-5459
Registry dates
- Enumerated
- 2021-04-02
- Last updated
- 2021-04-02
- Certified
- 2021-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.