IndividualActive
Kelly Jackson, LCSW
NPI 1598180630 · Clinical Social Worker · Columbia, MO
Kelly Jackson, LCSW is a Clinical Social Worker provider in Columbia, MO (NPI 1598180630).
Provider details
- NPI number
- 1598180630
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2015020177 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(76/100 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
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
409 Vandiver Dr
Building 4, Suite 102
Columbia, MO 65202-3754
Phone: (573) 289-0792
Fax: (573) 442-7505
Street-level locationGet directions
Mailing address
3007 Dahlia Dr
Columbia, MO 65202-3862
Registry dates
- Enumerated
- 2014-02-26
- Last updated
- 2016-11-30
Frequently asked questions
- What is Kelly Jackson's NPI number?
- Kelly Jackson's National Provider Identifier (NPI) is 1598180630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Jackson's specialty?
- Kelly Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kelly Jackson located?
- Kelly Jackson's practice location on file with NPPES is 409 Vandiver Dr, Columbia, MO 65202-3754.
- What is Kelly Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kelly Jackson is (573) 289-0792.
- Is Kelly Jackson's NPI active?
- Yes — Kelly Jackson's NPI (1598180630) is active in the NPPES registry as of the last update on 2016-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.