Active NPI
Mei Lin M Jackson
- Clinical Social Worker
- Fort Bragg, CA
National Provider Identifier
1700720497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 137741
- Practice address
- PO Box 520
Fort Bragg, CA 95437-0520 - Phone
- (857) 574-0374
- NPI assigned
- Apr 15, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 137741 | CA | Primary |
Addresses
Primary practice location
PO Box 520
Fort Bragg, CA 95437-0520
Mailing address
PO Box 520
Fort Bragg, CA 95437-0520
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": "1776211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1700720497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 520",
"city": "FORT BRAGG",
"state": "CA",
"postal_code": "954370520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 520",
"city": "FORT BRAGG",
"state": "CA",
"postal_code": "954370520",
"telephone_number": "857-574-0374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "MEI LIN",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-15",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "137741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.