Maia Jackson, LICSW
NPI 1194311043 · Clinical Social Worker · Minneapolis, MN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maia Jackson, LICSW is a Clinical Social Worker provider in Minneapolis, MN (NPI 1194311043).
Provider details
- NPI number
- 1194311043
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
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
5 yrs in NPPES registry
- Profile completeness38% of score
83% 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
- 2020-12-15
- Last updated
- 2022-10-13
- Certified
- 2020-12-15
Frequently asked questions
- What is Maia Jackson's NPI number?
- Maia Jackson's National Provider Identifier (NPI) is 1194311043, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maia Jackson's specialty?
- Maia Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Maia Jackson located?
- Maia Jackson's practice location on file with NPPES is 1100 Glenwood Ave, Minneapolis, MN 55405-1430.
- What is Maia Jackson's phone number?
- The practice phone number listed in the NPPES registry for Maia Jackson is (612) 871-1454.
- Does Maia Jackson accept Medicare?
- Maia Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Maia Jackson's NPI active?
- Yes — Maia Jackson's NPI (1194311043) is active in the NPPES registry as of the last update on 2022-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.