Individual provider Active NPI

Brittney R Jackson, MSW, MBA, LCSW

  • Clinical Social Worker
  • Cheshire, CT
National Provider Identifier
1639728231
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10742 Issued in CT
Practice address
1113 S Main St Ste F
Cheshire, CT 06410-3436
Phone
(203) 699-6318
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904020264 VA
Clinical Social Worker 1041C0700X 10742 CT Primary
Clinical Social Worker 1041C0700X 7451 TN
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149029138 IL
Clinical Social Worker 1041C0700X 34662 MD
Clinical Social Worker 1041C0700X SW26168 FL
Clinical Social Worker 1041C0700X 17730 SC

Addresses

Primary practice location

1113 S Main St Ste F
Cheshire, CT 06410-3436

Mailing address

1113 S Main St Ste F
Cheshire, CT 06410-3436
Phone (203) 699-6318

Other practice location 1

80 SW 8th St Ste 2000
Miami, FL 33130-3038
Phone (323) 205-7088

Other practice location 2

707 Green Meadow Ln
Smyrna, TN 37167-5893
Phone (615) 933-6127

Other practice location 3

4445 Willard Ave Ste 600
Chevy Chase, MD 20815-3786
Phone (323) 205-7088

Other practice location 4

332 S Michigan Ave Ste 900
Chicago, IL 60604-4393
Phone (323) 205-7088

Other practice location 5

170 Meeting St
Charleston, SC 29401-3153
Phone (323) 205-7088

Other practice location 6

901 N Glebe Rd Fl 5
Arlington, VA 22203-1853
Phone (323) 205-7088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191008002946 CT Practitioner - Clinical Social Worker 1850622713 Reassigns benefits to 2 organizations
I20201215000070 TN Practitioner - Clinical Social Worker 1850622713 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
SW26168FLMDClinical Social Worker
149029138ILMDClinical Social Worker
34662MDMDClinical Social Worker
0904020264VAMDClinical Social Worker
7451TNMDPharmacist
10742CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restoring You Wellness Center LLC Clinical CurrentSince Oct 15, 2019 Accepting new patients
Brave Health Medical Group PA Multi-Specialty CurrentSince Feb 13, 2026 Accepting new patients
Step Up Care PC LLC Multi-Specialty CurrentSince Sep 3, 2019 Accepting new patients
Mental Health Specialty Group PA Multi-Specialty CurrentSince Mar 25, 2025 Accepting new patients
Sharon Clayman PSYD, LLC Multi-Specialty CurrentSince Oct 13, 2019 Accepting new patients
Golden Engagements Wedding & Event Planning LLC Social Worker CurrentSince Aug 10, 2025 Accepting new patients
Breaking Cycles Counseling Clinical Past Accepting new patients
Becoming You Center for Transformation PastSince Mar 5, 2023 Accepting new patients
Community Guidance Clinic for Central Connecticut, Inc PastSince Sep 1, 2019 Accepting new patients
Community Guidance Clinic for Central Connecticut, Inc Multi-Specialty PastSince Feb 27, 2025 Accepting new patients

Locations

1113 S Main St
Ste F
Cheshire, CT 06410
Phone (203) 272-7381

290 Highland Ave
Ste 2
Cheshire, CT 06410
Phone (203) 314-4355

177 Whitewood Rd
Waterbury, CT 06708
Phone (203) 707-5800

51 Depot St
Ste 204
Watertown, CT 06795
Phone (203) 699-6318

80 SW 8th St
Ste 2000
Miami, FL 33130
Phone (305) 423-7054

332 S Michigan Ave
Ste 900
Chicago, IL 60604
Phone (813) 395-1073

4445 Willard Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 921-4287

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

170 Meeting St
Charleston, SC 29401
Phone (843) 983-8320

901 N Glebe Rd
Fl 5
Arlington, VA 22203
Phone (757) 533-1399

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1639728231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 S MAIN ST STE F",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103436",
            "telephone_number": "203-699-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 S MAIN ST STE F",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103436",
            "telephone_number": "203-699-6318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 SW 8th St Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331303038",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "fax_number": "833-419-0181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 Green Meadow Ln",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371675893",
            "country_code": "US",
            "telephone_number": "615-933-6127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4445 Willard Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208153786",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "fax_number": "833-419-0181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "332 S Michigan Ave Ste 900",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606044393",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "fax_number": "833-419-0181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 Meeting St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294013153",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "fax_number": "833-419-0181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 N Glebe Rd Fl 5",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222031853",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "fax_number": "833-419-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BRITTNEY",
        "middle_name": "R",
        "credential": "MSW, MBA, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904020264",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10742",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7451",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149029138",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "34662",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW26168",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "17730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.