Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mary Yvette Jackson-Webb, LCSW, LAC, MAC, CIMHP

Individual provider Nutritionist · NPI 1891220935

Mrs. Mary Yvette Jackson-Webb, LCSW, LAC, MAC, CIMHP is a Nutritionist in Colorado Springs, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2017
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

2790 N Academy Blvd Bldg SUITE206
Colorado Springs, CO 80917-5337
Phone: (719) 297-3499
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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 CSW09927388 (CO)
Nutritionist Taxonomy 133N00000X (CO)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LAC1914 (CO)

Record details

NPI number1891220935
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LAC , MAC , CIMHP
Sole proprietorYes
NPI enumeratedApril 26, 2017
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024

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