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

Nicole C. Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1033444708

Nicole C. Jackson, LCSW is a Clinical Social Worker in Oakland, California. Licensed in California and Georgia. Registered with an NPI since 2009.

Licensed in
CA, GA
In the registry since
2009
Specialties on file
2
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

8750 Mountain Blvd Bldg 69
Oakland, CA 94605-4500
Phone: (510) 777-5300
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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 CSW006567 (GA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 77555 (CA)

Record details

NPI number1033444708
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 13, 2009
Last updated in NPPESAugust 27, 2019

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