Kandi Jackson, LCSW, CCM
NPI 1467955567 · Clinical Social Worker · Jacksonville, FL
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kandi Jackson, LCSW, CCM is a Clinical Social Worker provider in Jacksonville, FL (NPI 1467955567).
Provider details
- NPI number
- 1467955567
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, CCM
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4207813
Specialties & taxonomies
Behavioral Health & Social Service Providers
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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)
- 5836 Copper Creek DrJacksonville, FL 32218-7334Phone: (904) 710-0625
Registry dates
- Enumerated
- 2018-03-14
- Last updated
- 2024-04-14
- Certified
- 2024-04-14
Frequently asked questions
- What is Kandi Jackson's NPI number?
- Kandi Jackson's National Provider Identifier (NPI) is 1467955567, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kandi Jackson's specialty?
- Kandi Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kandi Jackson located?
- Kandi Jackson's practice location on file with NPPES is 10852 Lem Turner Rd, Jacksonville, FL 32218-4566.
- What is Kandi Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kandi Jackson is (904) 710-0625.
- Does Kandi Jackson accept Medicare?
- Kandi Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kandi Jackson's NPI active?
- Yes — Kandi Jackson's NPI (1467955567) is active in the NPPES registry as of the last update on 2024-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.