Kim Elaine Jackson, LICSW
Clinical Social Worker · Oakland, CA
Kim Elaine Jackson, LICSW is a clinical social worker with a practice address in Oakland, California, and NPI 1184275166, issued on Sep 22, 2019. Check the license with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kim Elaine Jackson
- Credential
- LICSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License numbers
- LW61326871 WA
LC50082406 DC
Self-reported in NPPES; status is on the state search - Practice location
- 4909 Davenport Ave, Oakland, CA 94619
- Phone
- (206) 549-4668
- Enumerated
- Sep 22, 2019
- Record last updated
- Apr 3, 2024
- Fax
- (206) 568-7043
- Medicaid IDs
- 2229463 DC
2229463 WA - Entity
- Type 1 · individual
8 nearest clinical social worker records → All 36,261 in California → Look up another NPI →
Verify Kim Elaine Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Kim Elaine Jackson among 36,261 clinical social worker records in California
Kim Elaine Jackson, LICSW is one of 36,261 clinical social worker records with a practice address in California. 6% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2019, is newer than 67% of them.
- NPI issued2019 · 67% of these records are older, 28% newer
- In a Medicare fileNo · 6% of these records are
- In the CMS Doctors and Clinicians fileNo · 11% of these records are
- Record last updated2024 · 45% 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 California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1,130 clinical social worker records list a practice address in Oakland
They are 1,130 of the 18,558 NPPES records with a practice address in Oakland, and 36,261 clinical social worker records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 36,261 in California → Every provider in Oakland → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Naomi Bagby, LCSWOakland, CA 946191770782781
- Paula Bender, L.C.S.W.Oakland, CA 946191831242817
- Lindsay Evans, LCSWOakland, CA 946191952726713
- Emily Libby, LCSWOakland, CA 946191841780871
- Renee Lindquist, LCSWOakland, CA 946191528128394
- Gabriel MendozaOakland, CA 946191720511249
- Celeste Monnette, LCSWOakland, CA 946191609003854
- Sheree MooreOakland, CA 946191447502646
Common questions
What is Kim Elaine Jackson, LICSW's NPI number?
Kim Elaine Jackson, LICSW's National Provider Identifier (NPI) is 1184275166, issued on Sep 22, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Kim Elaine Jackson, LICSW located?
The NPPES record lists a practice address at 4909 Davenport Ave, Oakland, CA, 94619. Phone: (206) 549-4668. Providers update this record themselves, so call before visiting.
How can I verify Kim Elaine Jackson, LICSW's license?
Search the California 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.