Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson Initiative LLC

Organization Social Worker · NPI 1235090515

Jackson Initiative LLC is a Social Worker in Vallejo, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

629 Marin St Unit 4114
Vallejo, CA 94590-8419
Phone: (707) 832-0174
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Social Worker Taxonomy 104100000X
School Social Worker Taxonomy 1041S0200X

Record details

NPI number1235090515
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amelia Jackson — Owner · (707) 832-0174
NPI enumeratedNovember 18, 2025
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address629 Marin St Unit 4114, Vallejo, CA 94590-8419

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