Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cora Denise Jackson, DSW, LCSW, ACSW

Individual provider Clinical Social Worker · NPI 1689488876

Cora Denise Jackson, DSW, LCSW, ACSW is a Clinical Social Worker in Vicksburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2025.

Licensed in
MS
In the registry since
2025
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

1911 Mission 66 Ste B
Vicksburg, MS 39180-3762
Phone: (601) 456-2598
Fax: (855) 830-3484
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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 C-11310 (MS)

Record details

NPI number1689488876
Entity typeIndividual (Type 1)
GenderFemale
Credentials DSW , LCSW , ACSW
Sole proprietorNo
NPI enumeratedFebruary 6, 2025
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025

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