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

Nichole Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1205755386

Nichole Jackson, LCSW is a Clinical Social Worker in Irvington, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2026
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

75 Norwood Ave
Irvington, NJ 07111-4619
Phone: (917) 617-9343
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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 44SC05966900 (NJ)

Record details

NPI number1205755386
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 13, 2026
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

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