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

Dr. Jackeline Guillon, EDD, LCSW

Individual provider Clinical Social Worker · NPI 1881264034

Dr. Jackeline Guillon, EDD, LCSW is a Clinical Social Worker in Mission, Texas. Qualified in 2020, 6 years ago. Practices with Activate Cr, PLLC, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2021
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.
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

2326 E 25th St
Mission, TX 78574-7622
Phone: (956) 648-8720
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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 55941 (TX)

Record details

NPI number1881264034
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDD , LCSW
Sole proprietorYes
NPI enumeratedJune 30, 2021
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Activate Cr, Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mission