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

Paul D Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1265294011

Paul D Jackson, LCSW is a Clinical Social Worker in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2024.

Licensed in
AZ
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

4909 E McDowell Rd
Phoenix, AZ 85008-4227
Phone: (602) 685-6000
Fax: (602) 275-1355
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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 22022 (AZ)

Record details

NPI number1265294011
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 26, 2024
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 26, 2024

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