Jackson Initiative LLC
NPI 1235090515 · Clinical Social Worker · Vallejo, CA
Jackson Initiative LLC is a Clinical Social Worker organization in Vallejo, CA (NPI 1235090515).
Provider details
- NPI number
- 1235090515
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Amelia Jackson, Owner(707) 832-0174
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- School Social Worker1041S0200X
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
Under 1 yr in 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
- 2025-11-18
- Last updated
- 2025-11-18
- Certified
- 2025-11-18
Frequently asked questions
- What is Jackson Initiative LLC's NPI number?
- Jackson Initiative LLC's National Provider Identifier (NPI) is 1235090515, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Initiative LLC?
- Jackson Initiative LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jackson Initiative LLC located?
- Jackson Initiative LLC's practice location on file with NPPES is 629 Marin St Unit 4114, Vallejo, CA 94590-8419.
- What is Jackson Initiative LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Initiative LLC is (707) 832-0174.
- Who is the authorized official for Jackson Initiative LLC?
- The authorized official listed on Jackson Initiative LLC's NPPES record is Amelia Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Initiative LLC's NPI active?
- Yes — Jackson Initiative LLC's NPI (1235090515) is active in the NPPES registry as of the last update on 2025-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.