Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kyliah Laneice Jackson, LISW-CP

Individual provider Clinical Social Worker · NPI 1871082438

Kyliah Laneice Jackson, LISW-CP is a Clinical Social Worker in Columbia, South Carolina. Works from 2 locations. Licensed in Minnesota and South Carolina.

Licensed in
MN, SC
In the registry since
2018
Specialties on file
5
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Practice location Address checks out

1 Rice Pointe Ct
Columbia, SC 29203-9025
Phone: (708) 675-9061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8505 183rd St Ste D, Tinley Park, IL 60487-9353 — (708) 864-2990

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 29403 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 29403 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 17505 (SC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 17505 (SC)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1871082438
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-CP
Sole proprietorNo
NPI enumeratedMay 8, 2018
Last updated in NPPESFebruary 24, 2025
Certification dateJanuary 31, 2025

Other providers in Columbia