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

Mrs. Jeanette Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1407019797

Mrs. Jeanette Jackson, LCSW is a Clinical Social Worker in Bristol, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

12422 NW G T Revell Rd
Bristol, FL 32321-3007
Phone: (850) 643-4600
Fax: (850) 643-2061
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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 SW6714 (FL)

Record details

NPI number1407019797
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 7, 2008
Last updated in NPPESJuly 7, 2008

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