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

Mrs. Tyler Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1225469364

Mrs. Tyler Jackson, LCSW is a Clinical Social Worker in Travis AFB, California. Qualified in 2016, 10 years ago. Practices with St Bernards Hospital Inc, a 185-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
10
Licensed in
AR
In the registry since
2013
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

101 Bodin Cir
Travis AFB, CA 94535-1809
Phone: (707) 423-5174
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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 8001C (AR)

Record details

NPI number1225469364
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 27, 2013
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

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 St Bernards Hospital Inc. — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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