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

Sally A Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1831607001

Sally A Jackson, LCSW is a Clinical Social Worker in Madison, Wisconsin. Qualified in 2017, 9 years ago. Practices with Open Door Center for Change, LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
9
Licensed in
WI
In the registry since
2018
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6502 Grand Teton Plz
Madison, WI 53719-1047
Phone: (608) 827-7220
Fax: (608) 827-7220
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 9167-123 (WI)

Record details

NPI number1831607001
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 22, 2018
Last updated in NPPESFebruary 7, 2020
Certification dateFebruary 7, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Open Door Center For Change, Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Madison