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

Mrs. Amanda Marie Jackson

Individual provider Clinical Social Worker · NPI 1376913111

Mrs. Amanda Marie Jackson is a Clinical Social Worker in North las Vegas, Nevada. Qualified in 2016, 10 years ago. Practices with Geiss Med Nevada PC, a 16-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
10
Licensed in
NV
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

24 Goldleaf Falls Ave
North las Vegas, NV 89031-2957
Phone: (202) 909-5016
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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 · Licence 11782-C (NV)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1376913111
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 6, 2015
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Geiss Med Nevada Pc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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