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

Phyllis Jackson, LISW

Individual provider Social Worker · NPI 1891133898

Phyllis Jackson, LISW is a Social Worker in Saint Louis, Missouri. Licensed in New Mexico. Registered with an NPI since 2013.

Licensed in
NM
In the registry since
2013
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

12647 Olive Blvd Ste 600
Saint Louis, MO 63141-6393
Phone: (800) 325-3982
Fax: (877) 685-9880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence I-06925 (NM)

Record details

NPI number1891133898
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedJune 12, 2013
Last updated in NPPESJune 12, 2013

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