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

Nedra Renae Jackson, LCSW, CADC-CASI

Individual provider Clinical Social Worker · NPI 1649000589

Nedra Renae Jackson, LCSW, CADC-CASI is a Clinical Social Worker in Oakland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
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

550 Elysian Fields Dr
Oakland, CA 94605-5010
Phone: (510) 813-0734
Fax: (510) 638-3828
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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 LCSW99389 (CA)

Record details

NPI number1649000589
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CADC-CASI
Sole proprietorYes
NPI enumeratedAugust 6, 2024
Last updated in NPPESAugust 6, 2024
Certification dateAugust 1, 2024

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