David Jackson, LICSW
David Jackson is a Clinical Social Worker provider (Social Worker) practicing in Pine City, MN, registered in the NPPES registry with NPI 1548972425 since 2022.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1548972425 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | David Jackson |
| Credential | LICSW |
| Sex | Male |
| Practice address | 220 RAILROAD ST SE, Pine City, MN, 55063 |
| Phone | 3206297600 |
| Enumeration date | 2022-12-22 |
| Last updated in NPPES | 2022-12-22 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1041C0700X | Clinical Social Worker | Primary | 21551 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21551 | Medicaid | MN | — |
Copy-ready billing details
Provider: David Jackson, LICSW NPI: 1548972425 Taxonomy: 1041C0700X (Clinical Social Worker) Address: 220 RAILROAD ST SE, Pine City, MN, 55063
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1922093566 | Cheryl Smetana Mchugh | Individual | Social Worker | Pine City, MN |
| 1740275395 | Lainie Janke | Individual | Social Worker | Pine City, MN |
| 1477548022 | Kathleen Caron | Individual | Social Worker | Pine City, MN |
| 1205822822 | Linda Richnofsky | Individual | Marriage & Family Therapist | Pine City, MN |
| 1336135896 | Bruce Oleary | Individual | Marriage & Family Therapist | Pine City, MN |
| 1497741607 | Therapeutic Services Agency Inc | Organization | Marriage & Family Therapist | Pine City, MN |
| 1821076597 | Therapeutic Services Agency Inc | Organization | Marriage & Family Therapist | Pine City, MN |
| 1720066400 | Therapeutic Services Agency Inc | Organization | Marriage & Family Therapist | Pine City, MN |
Verify this record
Cross-check NPI 1548972425 against the authoritative CMS record: view David Jackson on the official NPPES registry .
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. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-12-22.