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

Kimberly Lynn Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1841315975

Kimberly Lynn Jackson, LCSW is a Clinical Social Worker in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.

Licensed in
RI
In the registry since
2007
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

1570 Westminster St
Providence, RI 02909
Phone: (215) 607-8480
Fax: (866) 315-9450
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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 ISW01815 (RI)

Record details

NPI number1841315975
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022

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