What is Dericka Jackson's NPI number?

Dericka Jackson's National Provider Identifier (NPI) is 1700558871, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Dericka Jackson's specialty?

Dericka Jackson is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).

Where is Dericka Jackson located?

Dericka Jackson's practice location on file with NPPES is 4440 Bass St, Tampa, FL 33617-8202.

What is Dericka Jackson's phone number?

The practice phone number listed in the NPPES registry for Dericka Jackson is (813) 384-1568.

Is Dericka Jackson's NPI active?

Yes — Dericka Jackson's NPI (1700558871) is active in the NPPES registry as of the last update on 2021-09-28.

IndividualActive

Dericka Jackson

NPI 1700558871 · Social Worker · Tampa, FL

Dericka Jackson is a Social Worker provider in Tampa, FL (NPI 1700558871).

Provider details

NPI number: 1700558871
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: Yes
License: 15603 (FL)

Specialties & taxonomies

Social WorkerPrimary104100000XLicense 15603 (FL)
Behavioral Health & Social Service Providers

Profile Score

Established profile(61/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 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

4440 Bass St

Tampa, FL 33617-8202

Phone: (813) 384-1568

Street-level locationGet directions

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Mailing address