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

Individual provider Social Worker · NPI 1982236022

Jylian Ann Jackson, LMSW is a Social Worker in Port Jervis, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

146 Pike Street Outpatient Clinic
Port Jervis, NY 12771
Phone: (845) 858-1456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 141 Broadway, Newburgh, NY 12550-6204 — (845) 568-5260

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 107538 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 099243 (NY)

Record details

NPI number1982236022
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorYes
NPI enumeratedFebruary 6, 2020
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025

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