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

Vada Jackson, LISW

Individual provider Clinical Social Worker · NPI 1356703029

Vada Jackson, LISW is a Clinical Social Worker in Sharonville, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2016
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

11156 Canal Rd
Sharonville, OH 45241-5815
Phone: (513) 772-6626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I 1502383 (OH)

Record details

NPI number1356703029
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorYes
NPI enumeratedMarch 22, 2016
Last updated in NPPESMarch 22, 2016
Mailing address1840 Fairfax Ave, Cincinnati, OH 45207-1812

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