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

Tina Jackson, LCSW

Individual provider Social Worker · NPI 1376968172

Tina Jackson, LCSW is a Social Worker in Holloman AFB, New Mexico. Works from 2 locations. Licensed in North Dakota.

Licensed in
ND
In the registry since
2014
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 →

Practice location Address checks out

280 1st St Bldg 23
Holloman AFB, NM 88330-8273
Phone: (575) 572-5676
Fax: (575) 572-1523
Show map & directions

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

Additional practice locations (1)

  • 16351 I94, Sentinel Butte, ND 58654-9500 — (701) 872-3745

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 4950 (ND)

Record details

NPI number1376968172
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 3, 2014
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022

Other providers in Holloman AFB