Individual provider Active NPI

Carol Burrell-Jackson, PH.D., MSW, LMSW

  • Clinical Social Worker
  • Ocala, FL
National Provider Identifier
1578851887
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16268 Issued in FL
Practice address
1740 SE 18TH St Ste 901
Ocala, FL 34471-5445
Phone
(352) 887-0770
Fax
(352) 368-6978
NPI assigned
Jul 20, 2011
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW16268 FL Primary
Clinical Social Worker 1041C0700X 6801035881 MI

Addresses

Primary practice location

1740 SE 18TH St Ste 901
Ocala, FL 34471-5445

Mailing address

1202 SW 17TH St Ste 201-158
Ocala, FL 34471-1271
Phone (352) 887-0770

Other practice location 1

3304 SE Lake Weir Ave Ste 1
Ocala, FL 34471-8602
Phone (352) 887-0770

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)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Dr J Is in Today, LLC Clinical Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1578851887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 SW 17TH ST STE 201-158",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711271",
            "telephone_number": "352-887-0770",
            "fax_number": "352-368-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 SE 18TH ST STE 901",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715445",
            "telephone_number": "352-887-0770",
            "fax_number": "352-368-6978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3304 SE Lake Weir Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344718602",
            "country_code": "US",
            "telephone_number": "352-887-0770",
            "fax_number": "352-368-6978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURRELL-JACKSON",
        "first_name": "CAROL",
        "credential": "PH.D., MSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16268",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801035881",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.