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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Deric R Jackson, LICSW

Clinical Social Worker in Hastings, MN · enumerated 2022.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093423337

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Registry record

Entity type Individual (Type 1)
Name Mr. Deric R Jackson
Credential LICSW
Sex Male
Practice address 1320 S Frontage Rd Ste 200, Hastings, MN, 55033
Phone (651) 500-0905
Enumeration date Nov 7, 2022
Last updated in NPPES Nov 28, 2022

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 21544 (MN) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1093423337 active?
Yes, as of the latest NPPES snapshot, NPI 1093423337 is active (record last updated 2022-11-28).
How do I verify Deric Jackson's NPI record?
Cross-check NPI 1093423337 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-11-28.