Chelsea M Jackson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

8768 Issued in KS

Practice address

2520 E Douglas Ave
Wichita, KS 67214-4514

Phone

(316) 776-5489

Fax

(316) 494-6348

NPI assigned

Mar 25, 2013

Last updated

Sep 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mandala Clinical, LLC.

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1336979863
  NPD Authorized official
• Mandala Community LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Wichita, KS
  • NPI 1922797356
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1184966459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 E DOUGLAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144514",
            "telephone_number": "316-776-5489",
            "fax_number": "316-494-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 E DOUGLAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144514",
            "telephone_number": "316-776-5489",
            "fax_number": "316-494-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHELSEA",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "8768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Marie Jack-Murdock, CRNA
• Jeffery Thomas Jack, RN
• Lisa Jack
• Alexandra Maynard Jackson, CCC-SLP
• Chaikeely Jackson
• Chelsie Jackson, RDN
• Corey Jackson, D.P.T.
• Hannah Isabelle Piros Jackson, LMLP
• Matthew DV Jackson, DDS
• Megan J Jackson, RN

• Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.