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

Keatha Jackson, LCSW

Individual provider Social Worker · NPI 1629456496

Keatha Jackson, LCSW is a Social Worker in Clinton, Louisiana. Licensed in Louisiana. Registered with an NPI since 2015.

Licensed in
LA
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

11990 Jackson St
Clinton, LA 70722-3210
Phone: (225) 683-5292
Fax: (225) 683-3411
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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 9337 (LA)
Social Worker Taxonomy 104100000X · Licence 9337 (LA)

Record details

NPI number1629456496
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 13, 2015
Last updated in NPPESSeptember 18, 2018
Mailing address25733 Blackwell Rd, Angie, LA 70426-4017

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