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

Mr. Holli Vern Jackson, MSW

Individual provider Clinical Social Worker · NPI 1699100511

Mr. Holli Vern Jackson, MSW is a Clinical Social Worker in Bethel, Alaska. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

829 Chief Eddie Hoffman Hwy
Bethel, AK 99559
Phone: (907) 543-6100
Fax: (907) 543-6159
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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
Clinical Social Worker Taxonomy 1041C0700X · Licence 27403 (CA)

Record details

NPI number1699100511
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW
Sole proprietorYes
NPI enumeratedSeptember 10, 2013
Last updated in NPPESNovember 20, 2019

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