Kathryn Jackson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1520 W Main St Ste 202
Richmond, VA 23220-4687

Phone

(804) 833-8747

NPI assigned

Jun 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kate Anne Jackson Other name

Medicare fee-for-service enrollment

Enrolled in DC

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 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1780880963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 W MAIN ST STE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204687",
            "telephone_number": "804-592-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 W MAIN ST STE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204687",
            "telephone_number": "804-833-8747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 Professional Rd",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232353214",
            "country_code": "US",
            "telephone_number": "804-592-6311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Byrd Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232303033",
            "country_code": "US",
            "telephone_number": "804-592-6311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KATHRYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2025-09-11",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945182",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "JACKSON",
            "middle_name": "ANNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Jackson
• Henry Edward Jackson
• Horace J Jackson, MD
• Jalin C Jackson
• Janai Cassandra Jackson
• Kwame Jackson
• Latrelle Jackson, PHD
• Leonard Victor Jackson Jr., D.D.S.
• Linsey L Jackson, DO
• Meghan Durrett Jackson, SLP

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.