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

Amity Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1194414698

Amity Jackson, LCSW is a Clinical Social Worker in Portland, Maine. Practices as a sole proprietor and works from 3 locations. Licensed in Maine.

Licensed in
ME
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

75 Pearl St Ste 470
Portland, ME 04101-7122
Phone: (207) 619-3356
Fax: (207) 300-6085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 22 Free St Ste 402, Portland, ME 04101-3900 — (207) 619-3356
  • 261 Main St Ste 10, Yarmouth, ME 04096-6755 — (207) 619-3356

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LC22099 (ME)

Record details

NPI number1194414698
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 2, 2023
Last updated in NPPESMay 2, 2023
Certification dateMay 2, 2023

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