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

MS. Michelle Lorraine Jackson, ASW

Individual provider Clinical Social Worker · NPI 1083021968

MS. Michelle Lorraine Jackson, ASW is a Clinical Social Worker in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

1421 Guerneville Rd Ste 218
Santa Rosa, CA 95403-7255
Phone: (707) 576-7700
Fax: (707) 576-7744
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence ASW59973 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence ASW59973 (CA)

Record details

NPI number1083021968
Entity typeIndividual (Type 1)
GenderFemale
Credentials ASW
Sole proprietorYes
NPI enumeratedJuly 13, 2014
Last updated in NPPESMay 18, 2015

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