IndividualActive
Amity Jackson, LCSW
NPI 1194414698 · Clinical Social Worker · Portland, ME
Amity Jackson, LCSW is a Clinical Social Worker provider in Portland, ME (NPI 1194414698).
Provider details
- NPI number
- 1194414698
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- LC22099 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
75 Pearl St Ste 470
Portland, ME 04101-7122
Phone: (207) 619-3356
Fax: (207) 300-6085
Street-level locationGet directions
Mailing address
75 Pearl St Ste 470
Portland, ME 04101-7122
Additional practice locations (2)
- 22 Free St Ste 402Portland, ME 04101-3900Phone: (207) 619-3356Fax: (207) 300-6085
- 261 Main St Ste 10Yarmouth, ME 04096-6755Phone: (207) 619-3356Fax: (207) 300-6085
Registry dates
- Enumerated
- 2023-05-02
- Last updated
- 2023-05-02
- Certified
- 2023-05-02
Frequently asked questions
- What is Amity Jackson's NPI number?
- Amity Jackson's National Provider Identifier (NPI) is 1194414698, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amity Jackson's specialty?
- Amity Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Amity Jackson located?
- Amity Jackson's practice location on file with NPPES is 75 Pearl St Ste 470, Portland, ME 04101-7122.
- What is Amity Jackson's phone number?
- The practice phone number listed in the NPPES registry for Amity Jackson is (207) 619-3356.
- Is Amity Jackson's NPI active?
- Yes — Amity Jackson's NPI (1194414698) is active in the NPPES registry as of the last update on 2023-05-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.