Jackson Initiative LLC

Jackson Initiative LLC is a healthcare organization registered as Clinical Social Worker in Vallejo, CA, holding Type 2 (organization) NPI 1235090515 since 2025. The authorized official on file is Amelia Jackson, Owner.

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NPI	1235090515
Entity type	Organization (Type 2)
Legal business name	Jackson Initiative LLC
Practice address	629 MARIN ST UNIT 4114, Vallejo, CA, 94590
Phone	7078320174
Enumeration date	2025-11-18
Last updated in NPPES	2025-11-18

Authorized official

Name	Amelia Jackson
Title	Owner
Phone	7078320174

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
104100000X	Social Worker	Secondary	—	—
1041S0200X	School Social Worker	Secondary	—	—
1041C0700X	Clinical Social Worker	Primary	—	—

Copy-ready billing details

Provider: Jackson Initiative LLC
NPI: 1235090515
Taxonomy: 1041C0700X (Clinical Social Worker)
Address: 629 MARIN ST UNIT 4114, Vallejo, CA, 94590

Providers at this address

NPI	Name	Type	Specialty	Location
1952261281	Amelia Jackson	Individual	Clinical Social Worker	Vallejo, CA

Verify this record

Cross-check NPI 1235090515 against the authoritative CMS record: view Jackson Initiative LLC 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.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-11-18. Verify at npiregistry.cms.hhs.gov.

Where is Jackson Initiative LLC located?

The practice location on file with NPPES is in Vallejo, CA.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-11-18.