Deric R. Jackson, LICSW
Clinical Social Worker · Hastings, MN
Deric R. Jackson, LICSW is a clinical social worker with a practice address in Hastings, Minnesota, and NPI 1093423337, issued on Nov 7, 2022. Check the license (Minnesota 21544, as entered in NPPES) with the Minnesota board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Deric R. Jackson
- Credential
- LICSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- 21544 MN
Self-reported in NPPES; status is on the state search - Practice location
- 1320 S Frontage RD Ste 200, Hastings, MN 55033
- Phone
- (651) 500-0905
- Enumerated
- Nov 7, 2022
- Record last updated
- Nov 28, 2022
- Entity
- Type 1 · individual
Also registered at 1320 S Frontage RD Ste 200
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kimberly Cleminson, LICSWClinical Social Worker1023985587
- Naomi Eden, LAMFTMarriage & Family Therapist1245626381
- Hunter Hager, MA, LADCAddiction (Substance Use Disorder) Counselor1720750607
- Anne Hewitt, LPCCMental Health Counselor1396062865
- Alaine Lagasse, LPCCProfessional Counselor1871141077
- Beth Vongemmingen, LPCC, LADCProfessional Counselor1598437089
Verify Deric R. 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 21544Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
10 clinical social worker records list a practice address in Hastings
They are 10 of the 309 NPPES records with a practice address in Hastings, and 6,609 clinical social worker records in Minnesota. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 10 in Hastings → All 6,609 in Minnesota → Every provider in Hastings →
Other clinical social worker records in Minnesota
- Sherry Aadland, LICSWMinneapolis, MN1740420355
- Ross Aalgaard, DSW, LICSW, LADCMankato, MN1275866253
- Jessica AamotMinneapolis, MN1295674877
- Victoria Abbene, LICSWMinneapolis, MN1205379757
- Geoffrey Abbott, LICSWMinneapolis, MN1952345639
- Tammy Abbott, MSW LICSWMinneapolis, MN1164633525
- Jibril AbdiBurnsville, MN1053057497
- Layla Abdi, LICSWMinneapolis, MN1356899124
- Qamar AbdiMinneapolis, MN1922806652
- Saida Abdi, LICSWMinneapolis, MN1538440458
Common questions
What is Deric R. Jackson, LICSW's NPI number?
Deric R. Jackson, LICSW's National Provider Identifier (NPI) is 1093423337, issued on Nov 7, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Deric R. Jackson, LICSW located?
The NPPES record lists a practice address at 1320 S Frontage RD Ste 200, Hastings, MN, 55033. Phone: (651) 500-0905. Providers update this record themselves, so call before visiting.
How can I verify Deric R. Jackson, LICSW's license?
NPPES lists Minnesota license number 21544, 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. 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.