IndividualActive
Tina Jackson, LCSW
NPI 1376968172 · Social Worker · Holloman Afb, NM
Tina Jackson, LCSW is a Social Worker provider in Holloman Afb, NM (NPI 1376968172).
Provider details
- NPI number
- 1376968172
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 4950 (ND)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(81/100 index)
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
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
280 1st St Bldg 23
Holloman Afb, NM 88330-8273
Phone: (575) 572-5676
Fax: (575) 572-1523
Approximate (ZIP-level) locationGet directions
Mailing address
16351 I94
Sentinel Butte, ND 58654-9500
Additional practice locations (1)
- 16351 I94Home on the RangeSentinel Butte, ND 58654-9500Phone: (701) 872-3745Fax: (701) 872-3748
Registry dates
- Enumerated
- 2014-03-03
- Last updated
- 2022-07-26
- Certified
- 2022-07-26
Frequently asked questions
- What is Tina Jackson's NPI number?
- Tina Jackson's National Provider Identifier (NPI) is 1376968172, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tina Jackson's specialty?
- Tina Jackson is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Tina Jackson located?
- Tina Jackson's practice location on file with NPPES is 280 1st St Bldg 23, Holloman Afb, NM 88330-8273.
- What is Tina Jackson's phone number?
- The practice phone number listed in the NPPES registry for Tina Jackson is (575) 572-5676.
- Is Tina Jackson's NPI active?
- Yes — Tina Jackson's NPI (1376968172) is active in the NPPES registry as of the last update on 2022-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.