David Jackson, LICSW
Clinical Social Worker · Pine City, MN
David Jackson, LICSW is a clinical social worker with a practice address in Pine City, Minnesota, and NPI 1548972425, issued on Dec 22, 2022. Check the license (Minnesota 21551, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- David Jackson
- Credential
- LICSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- 21551 MN
Self-reported in NPPES; status is on the state search - Practice location
- 220 Railroad St SE, Pine City, MN 55063
- Phone
- (320) 629-7600
- Enumerated
- Dec 22, 2022
- Record last updated
- Dec 22, 2022
- Medicaid ID
- 21551 MN
- Medicare enrollment
- Enrolled (PECOS I20230606003501); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 6,609 in Minnesota → Look up another NPI →
Also registered at 220 Railroad St SE
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Bethany AlmosClinical Social Worker1114589124
- Danielle Aubuchon, MSW, LICSWClinical Social Worker1275278186
- Michael Bousu, MA, LMFTMarriage & Family Therapist1437870763
- Kelly Buchta, MSW, LICSWClinical Social Worker1114495827
- Kathleen Caron, LICSWSocial Worker1477548022
- Holly Clark, MSW, LICSWClinical Social Worker1770202368
Verify David Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 21551Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Therapeutic Services Agency IncPine City, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
David Jackson among 6,609 clinical social worker records in Minnesota
David Jackson, LICSW is one of 6,609 clinical social worker records with a practice address in Minnesota. 24% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 70% of them.
- NPI issued2022 · 70% of these records are older, 24% newer
- In a Medicare fileYes · 24% of these records are
- In the CMS Doctors and Clinicians fileYes · 31% of these records are
- Graduated2016 · median 2014 among the 2,023 with a school on file
- Record last updated2022 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
17 clinical social worker records list a practice address in Pine City
They are 17 of the 126 NPPES records with a practice address in Pine City, and 6,609 clinical social worker records in Minnesota.
All 6,609 in Minnesota → Every provider in Pine City → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Bethany AlmosPine City, MN 550631114589124
- Danielle Aubuchon, MSW, LICSWPine City, MN 550631275278186
- Kelly Buchta, MSW, LICSWPine City, MN 550631114495827
- Holly Clark, MSW, LICSWPine City, MN 550631770202368
- Mitchell Demers, MSW, LICSWPine City, MN 550631275990277
- Karlie Gams, MSW, LICSWPine City, MN 550631194350199
- Leah Granitz, LICSWPine City, MN 550631972203081
- Johanna Hauck, MSW, LICSWPine City, MN 550631356827521
Common questions
What is David Jackson, LICSW's NPI number?
David Jackson, LICSW's National Provider Identifier (NPI) is 1548972425, issued on Dec 22, 2022. An NPI identifies a provider in billing; it is not a license.
Where is David Jackson, LICSW located?
The NPPES record lists a practice address at 220 Railroad St SE, Pine City, MN, 55063. Phone: (320) 629-7600. Providers update this record themselves, so call before visiting.
How can I verify David Jackson, LICSW's license?
NPPES lists Minnesota license number 21551, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.