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

MS. Carolyn Jane Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1063771996

MS. Carolyn Jane Jackson, LCSW is a Clinical Social Worker in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2012
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

200 S Hoover Blvd Ste 170
Tampa, FL 33609-3540
Phone: (727) 692-7096
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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 SW10436 (FL)

Record details

NPI number1063771996
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 12, 2012
Last updated in NPPESMay 12, 2012

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