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

Individual provider Clinical Social Worker · NPI 1619103959

Tissan Tilden Jackson, LCSW is a Clinical Social Worker in Jackson, Mississippi. Works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2009
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

3450 Highway 80 W
Jackson, MS 39209-7201
Phone: (601) 321-2400
Fax: (601) 985-5174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 N Congress St, Jackson, MS 39201-1902 — (601) 326-3735

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C10433 (MS)

Record details

NPI number1619103959
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 1, 2009
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

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