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

Individual provider Clinical Social Worker · NPI 1891383006

Alissa Nicole Jackson, LISW-S is a Clinical Social Worker in Columbus, Ohio. Qualified in 2002, 24 years ago. Practices as a sole proprietor. Licensed in Ohio.

Years since qualifying
24
Licensed in
OH
In the registry since
2021
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Practice location Address checks out

929 Harrison Ave Ste 304
Columbus, OH 43215-1346
Phone: (614) 940-4868
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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 I0900346 (OH)

Record details

NPI number1891383006
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S
Sole proprietorYes
NPI enumeratedJanuary 4, 2021
Last updated in NPPESJanuary 4, 2021
Certification dateJanuary 4, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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