What is Jay Jackson's NPI number?

Jay Jackson's National Provider Identifier (NPI) is 1730847534, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jay Jackson's specialty?

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

Where is Jay Jackson located?

Jay Jackson's practice location on file with NPPES is 13722 Jefferson Rd, Russellville, MO 65074-2006.

What is Jay Jackson's phone number?

The practice phone number listed in the NPPES registry for Jay Jackson is (573) 782-0145.

Is Jay Jackson's NPI active?

Yes — Jay Jackson's NPI (1730847534) is active in the NPPES registry as of the last update on 2021-11-30.

IndividualActive

Jay Jackson, LCSW

NPI 1730847534 · Clinical Social Worker · Russellville, MO

Jay Jackson, LCSW is a Clinical Social Worker provider in Russellville, MO (NPI 1730847534).

Provider details

NPI number: 1730847534
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LCSW
Sex: Male
Sole proprietor: Yes
License: 2002031992 (MO)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense 2002031992 (MO)
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

13722 Jefferson Rd

Russellville, MO 65074-2006

Phone: (573) 782-0145

Street-level locationGet directions

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Mailing address