IndividualActive
Jessica Jackson, LICSW
NPI 1114076684 · Clinical Social Worker · Brighton, MA
Jessica Jackson, LICSW is a Clinical Social Worker provider in Brighton, MA (NPI 1114076684).
Provider details
- NPI number
- 1114076684
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 113911 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
77 Warren St
Building #9
Brighton, MA 02135-3601
Phone: (617) 254-0964
Street-level locationGet directions
Mailing address
1269 Broadway
Somerville, MA 02144-1723
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jessica Jackson's NPI number?
- Jessica Jackson's National Provider Identifier (NPI) is 1114076684, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Jackson's specialty?
- Jessica Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jessica Jackson located?
- Jessica Jackson's practice location on file with NPPES is 77 Warren St, Brighton, MA 02135-3601.
- What is Jessica Jackson's phone number?
- The practice phone number listed in the NPPES registry for Jessica Jackson is (617) 254-0964.
- Is Jessica Jackson's NPI active?
- Yes — Jessica Jackson's NPI (1114076684) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.