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

MS. Michelle Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1669798112

MS. Michelle Jackson, LCSW is a Clinical Social Worker in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2010.

Licensed in
PA
In the registry since
2010
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

4025 Chestnut St Fl 1
Philadelphia, PA 19104-3054
Phone: (215) 382-6680
Fax: (215) 386-1743
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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 CW016607 (PA)

Record details

NPI number1669798112
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 8, 2010
Last updated in NPPESApril 8, 2010

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