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

Mr. Scott A Jackson, CADCII

Individual provider Case Manager/Care Coordinator · NPI 1902278690

Mr. Scott A Jackson, CADCII is a Case Manager/Care Coordinator in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

3148 Midway Dr # 113
San Diego, CA 92110-4539
Phone: (619) 619-3630
Fax: (619) 362-9905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence A040000816 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence CI4400615 (CA)

Record details

NPI number1902278690
Entity typeIndividual (Type 1)
GenderMale
Credentials CADCII
Sole proprietorYes
NPI enumeratedOctober 21, 2015
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

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