NPI 1003126699

Kim M Jackson, LISW

Practitioner Clinical Social Worker Cleveland, OH

Practice location

Address: 3500 Carnegie Ave, Cleveland, OH 44115-2641
Phone: (440) 260-8554

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence I2506226 (OH)

Other Social Worker providers in Ohio →

Registry record

NPI: 1003126699
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Oct 2010
Record last updated: 22 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.