IndividualActive
Mirissa Jackson
NPI 1831757905 · Clinical Social Worker · Cantonment, FL
Mirissa Jackson is a Clinical Social Worker provider in Cantonment, FL (NPI 1831757905).
Provider details
- NPI number
- 1831757905
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 25215 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
3771 Stefani Rd
Cantonment, FL 32533-7795
Phone: (850) 607-6910
Fax: (850) 607-6932
Street-level locationGet directions
Mailing address
3771 Stefani Rd
Cantonment, FL 32533-7795
Registry dates
- Enumerated
- 2019-06-03
- Last updated
- 2025-03-24
- Certified
- 2025-03-24
Frequently asked questions
- What is Mirissa Jackson's NPI number?
- Mirissa Jackson's National Provider Identifier (NPI) is 1831757905, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mirissa Jackson's specialty?
- Mirissa Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Mirissa Jackson located?
- Mirissa Jackson's practice location on file with NPPES is 3771 Stefani Rd, Cantonment, FL 32533-7795.
- What is Mirissa Jackson's phone number?
- The practice phone number listed in the NPPES registry for Mirissa Jackson is (850) 607-6910.
- Is Mirissa Jackson's NPI active?
- Yes — Mirissa Jackson's NPI (1831757905) is active in the NPPES registry as of the last update on 2025-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.