Carissa Jackson, LCSW
NPI 1669163051 · Clinical Social Worker · Pawtucket, RI
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carissa Jackson, LCSW is a Clinical Social Worker provider in Pawtucket, RI (NPI 1669163051).
Provider details
- NPI number
- 1669163051
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- CSW02518 (RI)
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
3 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
Mailing address
Registry dates
- Enumerated
- 2023-05-16
- Last updated
- 2023-05-16
- Certified
- 2023-05-16
Frequently asked questions
- What is Carissa Jackson's NPI number?
- Carissa Jackson's National Provider Identifier (NPI) is 1669163051, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carissa Jackson's specialty?
- Carissa Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Carissa Jackson located?
- Carissa Jackson's practice location on file with NPPES is 200 Main St Ste 210, Pawtucket, RI 02860-4119.
- What is Carissa Jackson's phone number?
- The practice phone number listed in the NPPES registry for Carissa Jackson is (401) 728-1800.
- Does Carissa Jackson accept Medicare?
- Carissa Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carissa Jackson's NPI active?
- Yes — Carissa Jackson's NPI (1669163051) is active in the NPPES registry as of the last update on 2023-05-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.