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

Domonique Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1063950731

Domonique Jackson, LCSW is a Clinical Social Worker in Orange Park, Florida. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

752 Blanding Blvd Ste 130
Orange Park, FL 32065-5790
Phone: (904) 637-5297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3100 University Blvd S Ste 218, Jacksonville, FL 32216-2727 — (904) 535-1844

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1063950731
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 2, 2017
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020
Mailing address3045 Russell Rd, Green Cove Springs, FL 32043-8209

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