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

Individual provider Clinical Social Worker · NPI 1598180630

Kelly Faye Jackson, LCSW is a Clinical Social Worker in Columbia, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2014
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

409 Vandiver Dr Bldg 4 Ste 102
Columbia, MO 65202-3754
Phone: (573) 289-0792
Fax: (573) 442-7505
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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 2015020177 (MO)

Record details

NPI number1598180630
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 26, 2014
Last updated in NPPESNovember 30, 2016

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