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

Mr. Richard Allen Jackson, LICSW

Individual provider Clinical Social Worker · NPI 1629520770

Mr. Richard Allen Jackson, LICSW is a Clinical Social Worker in Brainerd, Minnesota. Qualified in 2013, 13 years ago. Practices with The Therapist, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
13
Licensed in
MN
In the registry since
2016
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

201 W Laurel St
Brainerd, MN 56401-3902
Phone: (218) 454-3844
Fax: (218) 454-3844
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 201 W Laurel St, Brainerd, MN 56401-3902 — (218) 454-3844

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 23282 (MN)

Record details

NPI number1629520770
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 25, 2016
Last updated in NPPESApril 12, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice The Therapist — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brainerd