Elijah Jackson, LCSW
NPI 1669096244 · Clinical Social Worker · Philadelphia, PA
Elijah Jackson, LCSW is a Clinical Social Worker provider in Philadelphia, PA (NPI 1669096244).
Provider details
- NPI number
- 1669096244
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Social Worker104100000X
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
6 yrs in NPPES registry
- Profile completeness38% of score
83% 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)
- 1500 Walnut St Ste 300Philadelphia, PA 19102-3502Phone: (215) 563-7863
Registry dates
- Enumerated
- 2020-05-30
- Last updated
- 2023-05-29
- Certified
- 2023-05-28
Frequently asked questions
- What is Elijah Jackson's NPI number?
- Elijah Jackson's National Provider Identifier (NPI) is 1669096244, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elijah Jackson's specialty?
- Elijah Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Elijah Jackson located?
- Elijah Jackson's practice location on file with NPPES is 201 S 13th St Apt 1011, Philadelphia, PA 19107-5404.
- What is Elijah Jackson's phone number?
- The practice phone number listed in the NPPES registry for Elijah Jackson is (631) 346-8485.
- Is Elijah Jackson's NPI active?
- Yes — Elijah Jackson's NPI (1669096244) is active in the NPPES registry as of the last update on 2023-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.