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

Samantha J Jackson, LICSW

Individual provider Clinical Social Worker · NPI 1265108484

Samantha J Jackson, LICSW is a Clinical Social Worker in Salem, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota and Oregon.

Licensed in
MN, OR
In the registry since
2021
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2355 State St Ste 10
Salem, OR 97301-4541
Phone: (541) 577-1657
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 202 N Cedar Ave Ste 1, Owatonna, MN 55060-2306 — (541) 577-6571

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 25126 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence L14321 (OR)

Record details

NPI number1265108484
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 18, 2021
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

Other providers in Salem