Samantha Jackson, LICSW
NPI 1265108484 · Clinical Social Worker · Salem, OR
Samantha Jackson, LICSW is a Clinical Social Worker provider in Salem, OR (NPI 1265108484).
Provider details
- NPI number
- 1265108484
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sole proprietor
- Yes
- License
- L14321 (OR)
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
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
Mailing address
Additional practice locations (1)
- 202 N Cedar Ave Ste 1Owatonna, MN 55060-2306Phone: (541) 577-6571
Registry dates
- Enumerated
- 2021-08-18
- Last updated
- 2024-05-08
- Certified
- 2024-05-08
Frequently asked questions
- What is Samantha Jackson's NPI number?
- Samantha Jackson's National Provider Identifier (NPI) is 1265108484, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Jackson's specialty?
- Samantha Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Samantha Jackson located?
- Samantha Jackson's practice location on file with NPPES is 2355 State St Ste 10, Salem, OR 97301-4541.
- What is Samantha Jackson's phone number?
- The practice phone number listed in the NPPES registry for Samantha Jackson is (541) 577-1657.
- Is Samantha Jackson's NPI active?
- Yes — Samantha Jackson's NPI (1265108484) is active in the NPPES registry as of the last update on 2024-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.