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

Mark A Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1972990844

Mark A Jackson, LCSW is a Clinical Social Worker in Venice, Florida. Qualified in 2003, 23 years ago. Practices with Mindful Mental Health Services - Fl Gulf SW LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
23
Licensed in
FL
In the registry since
2015
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

513 Menendez St
Venice, FL 34285-2233
Phone: (917) 319-1210
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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 SW11508 (FL)

Record details

NPI number1972990844
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 18, 2015
Last updated in NPPESApril 18, 2015
Mailing address5528 Cartagena Dr, Sarasota, FL 34233-3504

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Mindful Mental Health Services - Fl Gulf Sw Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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