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

Mr. Jerry Michael Jackson, MSW, ACSW

Individual provider Mental Health Counselor · NPI 1699887166

Mr. Jerry Michael Jackson, MSW, ACSW is a Mental Health Counselor in Bellevue, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2006
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

See every abbreviation used in this directory →

Practice location Address checks out

11016 NE 2nd Pl
Bellevue, WA 98004-5830
Phone: (425) 455-0348
Fax: (206) 367-0547
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LW00004286 (WA)

Record details

NPI number1699887166
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , ACSW
Sole proprietorYes
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007

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