Tyler Jackson, LCSW
NPI 1225469364 · Clinical Social Worker · Travis Afb, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyler Jackson, LCSW is a Clinical Social Worker provider in Travis Afb, CA (NPI 1225469364).
Provider details
- NPI number
- 1225469364
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8001C (AR)
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
12 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
- 2013-11-27
- Last updated
- 2026-05-13
- Certified
- 2026-05-13
Frequently asked questions
- What is Tyler Jackson's NPI number?
- Tyler Jackson's National Provider Identifier (NPI) is 1225469364, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Jackson's specialty?
- Tyler Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tyler Jackson located?
- Tyler Jackson's practice location on file with NPPES is 101 Bodin Cir, Travis Afb, CA 94535-1809.
- What is Tyler Jackson's phone number?
- The practice phone number listed in the NPPES registry for Tyler Jackson is (707) 423-5174.
- Does Tyler Jackson accept Medicare?
- Tyler Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tyler Jackson's NPI active?
- Yes — Tyler Jackson's NPI (1225469364) is active in the NPPES registry as of the last update on 2026-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.