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

Mrs. Bernadette Jackson, LMSW

Individual provider Mental Health Counselor · NPI 1316227564

Mrs. Bernadette Jackson, LMSW is a Clinical Social Worker in Tupelo, Mississippi. Qualified in 2011, 15 years ago. Licensed in Mississippi.

Years since qualifying
15
Licensed in
MS
In the registry since
2011
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

2434 S Eason Blvd
Tupelo, MS 38804-6942
Phone: (662) 844-1717
Fax: (662) 680-6416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence M8886 (MS)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1316227564
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedAugust 19, 2011
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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