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

Miss. Lisa Olivia Jackson, LMSW, CASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1902033350

Miss. Lisa Olivia Jackson, LMSW, CASAC is an Addiction (Substance Use Disorder) Counselor in Bay Shore, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1444 5th Avenue Family Service League
Bay Shore, NY 11706
Phone: (631) 647-3100
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 076799 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 9582 (NY)

Record details

NPI number1902033350
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW , CASAC
Sole proprietorYes
NPI enumeratedJune 12, 2009
Last updated in NPPESJune 12, 2009

Other providers in Bay Shore