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

Individual provider Clinical Social Worker · NPI 1912797762

MS. Tahira Naomi Jackson, LCSW is a Clinical Social Worker in Philadelphia, Pennsylvania. Practices as a sole proprietor and works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2025
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

1626 Locust St
Philadelphia, PA 19103-6305
Phone: (646) 941-7645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 322 N Shore Dr, Pittsburgh, PA 15212-5875 — (646) 941-7645

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW025834 (PA)

Record details

NPI number1912797762
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 7, 2025
Last updated in NPPESMay 7, 2025
Certification dateMay 6, 2025

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