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

Aquanatte Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1508145244

Aquanatte Jackson, LCSW is a Clinical Social Worker in Gary, Indiana. Qualified in 1998, 28 years ago. Practices as a sole proprietor.

Years since qualifying
28
In the registry since
2011
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

5059 Hayes St
Gary, IN 46408-4355
Phone: (256) 797-1363
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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

Record details

NPI number1508145244
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 11, 2011
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025
Mailing address5059 Hayes St, Gary, IN 46408-4355

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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