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

Mirissa Jackson

Individual provider Clinical Social Worker · NPI 1831757905

Mirissa Jackson is a Clinical Social Worker in Cantonment, Florida. Licensed in Maryland. Registered with an NPI since 2019.

Licensed in
MD
In the registry since
2019

Practice location Address checks out

3771 Stefani Rd
Cantonment, FL 32533-7795
Phone: (850) 607-6910
Fax: (850) 607-6932
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 25215 (MD)

Record details

NPI number1831757905
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 3, 2019
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025
Mailing address3771 Stefani Rd, Cantonment, FL 32533-7795

Other providers in Cantonment