Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Adrienne Michelle Jackson, LISW-CP

Individual provider Clinical Social Worker · NPI 1992456784

Adrienne Michelle Jackson, LISW-CP is a Clinical Social Worker in Blythewood, South Carolina. Qualified in 2010, 16 years ago. Licensed in South Carolina.

Years since qualifying
16
Licensed in
SC
In the registry since
2022
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Practice location Address checks out

29 Flint Way
Blythewood, SC 29016-5827
Phone: (803) 920-3946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 16273 (SC)

Record details

NPI number1992456784
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-CP
Sole proprietorNo
NPI enumeratedJanuary 12, 2022
Last updated in NPPESAugust 24, 2023
Certification dateAugust 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Blythewood