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

Kandi Jackson, LCSW, CCM

Individual provider Case Manager/Care Coordinator · NPI 1467955567

Kandi Jackson, LCSW, CCM is a Clinical Social Worker in Jacksonville, Florida. Qualified in 2006, 20 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
20
Licensed in
FL
In the registry since
2018
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

10852 Lem Turner Rd
Jacksonville, FL 32218-4566
Phone: (904) 710-0625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5836 Copper Creek Dr, Jacksonville, FL 32218-7334 — (904) 710-0625

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW11339 (FL)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence 4207813

Record details

NPI number1467955567
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CCM
Sole proprietorYes
NPI enumeratedMarch 14, 2018
Last updated in NPPESApril 14, 2024
Certification dateApril 14, 2024
Mailing address5836 Copper Creek Dr, Jacksonville, FL 32218-7334

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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