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Jackson Initiative LLC

Clinical Social Worker in Vallejo, CA · enumerated 2025 · authorized official Amelia Jackson, Owner.

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

National Provider Identifier

1235090515

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Registry record

Entity type Organization (Type 2)
Legal business name Jackson Initiative LLC
Practice address 629 Marin St Unit 4114, Vallejo, CA, 94590
Phone (707) 832-0174
Enumeration date Nov 18, 2025
Last updated in NPPES Nov 18, 2025

Taxonomy & classification

104100000X Social Worker Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary
1041S0200X School Social Worker Behavioral Health & Social Service Providers Secondary

Authorized official

Name Amelia Jackson
Title Owner
Phone (707) 832-0174

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

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.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-18.