IndividualActive
Tissan Jackson, LCSW
NPI 1619103959 · Clinical Social Worker · Jackson, MS
Tissan Jackson, LCSW is a Clinical Social Worker provider in Jackson, MS (NPI 1619103959).
Provider details
- NPI number
- 1619103959
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- C10433 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
3450 Highway 80 W
Jackson, MS 39209-7201
Phone: (601) 321-2400
Fax: (601) 985-5174
Street-level locationGet directions
Mailing address
3450 Highway 80 W
Jackson, MS 39209-7201
Additional practice locations (1)
- 200 N Congress StSuite 100Jackson, MS 39201-1902Phone: (601) 326-3735
Registry dates
- Enumerated
- 2009-06-01
- Last updated
- 2024-09-04
- Certified
- 2024-09-04
Frequently asked questions
- What is Tissan Jackson's NPI number?
- Tissan Jackson's National Provider Identifier (NPI) is 1619103959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tissan Jackson's specialty?
- Tissan Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tissan Jackson located?
- Tissan Jackson's practice location on file with NPPES is 3450 Highway 80 W, Jackson, MS 39209-7201.
- What is Tissan Jackson's phone number?
- The practice phone number listed in the NPPES registry for Tissan Jackson is (601) 321-2400.
- Is Tissan Jackson's NPI active?
- Yes — Tissan Jackson's NPI (1619103959) is active in the NPPES registry as of the last update on 2024-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.