Michelle Rene' Jackson, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2024044142 Issued in MO

Practice address

3270 E Highway 54
El Dorado Springs, MO 64744-8201

Phone

(417) 296-2705

NPI assigned

Aug 10, 2006

Last updated

Sep 9, 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)

Enrolled

State licenses

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1447261110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 E HIGHWAY 54",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647448201",
            "telephone_number": "417-296-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 E HIGHWAY 54",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647448201",
            "telephone_number": "417-296-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MICHELLE",
        "middle_name": "RENE'",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024044142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Springs Counseling & Wellness LLC
• Barbara Joyce Heuser, PA-C
• Cammie Lynette Housh, DDS
• Michael Lee Housh, DDS
• I Am Health Clinic, LLC
• Amber Johnson, PA
• Melissa B Jones, DO
• Rachel Kauffman, PHARMD
• KB Evans Drug Inc (Evans Drugs)
• KB Evans Drug Inc (Evans Drugs)

• Clinical Social Worker in El Dorado Springs, MO
• Providers in El Dorado Springs, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.