Kim Jackson, LICSW
NPI 1184275166 · Clinical Social Worker · Oakland, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kim Jackson, LICSW is a Clinical Social Worker provider in Oakland, CA (NPI 1184275166).
Provider details
- NPI number
- 1184275166
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- LC50082406 (DC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
6 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
- 2019-09-22
- Last updated
- 2024-04-03
- Certified
- 2024-04-03
Frequently asked questions
- What is Kim Jackson's NPI number?
- Kim Jackson's National Provider Identifier (NPI) is 1184275166, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kim Jackson's specialty?
- Kim Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kim Jackson located?
- Kim Jackson's practice location on file with NPPES is 4909 Davenport Ave, Oakland, CA 94619-2920.
- What is Kim Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kim Jackson is (206) 549-4668.
- Does Kim Jackson accept Medicare?
- Kim Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kim Jackson's NPI active?
- Yes — Kim Jackson's NPI (1184275166) is active in the NPPES registry as of the last update on 2024-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.