Carroll Jackson, L.I.S.W.
NPI 1184097842 · Clinical Social Worker · Dayton, OH
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carroll Jackson, L.I.S.W. is a Clinical Social Worker provider in Dayton, OH (NPI 1184097842).
Provider details
- NPI number
- 1184097842
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- L.I.S.W.
- Sex
- Female
- Sole proprietor
- No
- License
- I.0009433 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Registry dates
- Enumerated
- 2015-11-03
- Last updated
- 2015-12-11
Frequently asked questions
- What is Carroll Jackson's NPI number?
- Carroll Jackson's National Provider Identifier (NPI) is 1184097842, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carroll Jackson's specialty?
- Carroll Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Carroll Jackson located?
- Carroll Jackson's practice location on file with NPPES is 4130 Linden Ave, Dayton, OH 45432-3015.
- What is Carroll Jackson's phone number?
- The practice phone number listed in the NPPES registry for Carroll Jackson is (937) 681-9644.
- Does Carroll Jackson accept Medicare?
- Carroll Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carroll Jackson's NPI active?
- Yes — Carroll Jackson's NPI (1184097842) is active in the NPPES registry as of the last update on 2015-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.