Active NPI
Jamie Jarell Jackson, SOCIAL WORKER
- Social Worker
- Concord, CA
National Provider Identifier
1427581495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 103968
- Practice address
- 1936 Carlotta Dr # 94519
Concord, CA 94519-1358 - Phone
- (925) 682-8000
- NPI assigned
- Apr 6, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 103968 | CA | Primary |
Addresses
Primary practice location
1936 Carlotta Dr # 94519
Concord, CA 94519-1358
Mailing address
1936 Carlotta Dr # 94519
Concord, CA 94519-1358
Phone (925) 682-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1427581495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1936 CARLOTTA DR # 94519",
"city": "CONCORD",
"state": "CA",
"postal_code": "945191358",
"telephone_number": "925-682-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1936 CARLOTTA DR # 94519",
"city": "CONCORD",
"state": "CA",
"postal_code": "945191358",
"telephone_number": "925-682-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "JAMIE",
"middle_name": "JARELL",
"credential": "SOCIAL WORKER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-06",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "103968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.