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

Jennifer Lynne Jackson, LCSW

Individual provider Social Worker · NPI 1124419270

Jennifer Lynne Jackson, LCSW is a Clinical Social Worker in Santa Fe, New Mexico. Qualified in 2018, 8 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
8
Licensed in
NM
In the registry since
2015
Specialties on file
2
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

4730 Beckner Rd
Santa Fe, NM 87507
Phone: (055) 989-4500
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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-11724 (NM)
Social Worker Taxonomy 104100000X · Licence M-10624 (NM)

Record details

NPI number1124419270
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 11, 2015
Last updated in NPPESOctober 2, 2023
Certification dateSeptember 11, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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