Richard Jackson, LICSW
NPI 1629520770 · Clinical Social Worker · Brainerd, MN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Richard Jackson, LICSW is a Clinical Social Worker provider in Brainerd, MN (NPI 1629520770).
Provider details
- NPI number
- 1629520770
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 23282 (MN)
Specialties & taxonomies
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
9 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)
- 201 W Laurel StBrainerd, MN 56401-3902Phone: (218) 454-3844Fax: (218) 454-3844
Registry dates
- Enumerated
- 2016-10-25
- Last updated
- 2018-04-12
Frequently asked questions
- What is Richard Jackson's NPI number?
- Richard Jackson's National Provider Identifier (NPI) is 1629520770, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Richard Jackson's specialty?
- Richard Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Richard Jackson located?
- Richard Jackson's practice location on file with NPPES is 201 W Laurel St, Brainerd, MN 56401-3902.
- What is Richard Jackson's phone number?
- The practice phone number listed in the NPPES registry for Richard Jackson is (218) 454-3844.
- Does Richard Jackson accept Medicare?
- Richard Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Richard Jackson's NPI active?
- Yes — Richard Jackson's NPI (1629520770) is active in the NPPES registry as of the last update on 2018-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.