Melissa M Jackson, MSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2405367 Issued in OH

Practice address

8100 Ravines Edge CT Ste 200
Columbus, OH 43235-5426

Phone

(614) 410-8827

NPI assigned

Nov 7, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cook Counseling and Consulting Inc.

  • Clinical Social Worker
  • Gahanna, OH
  • NPI 1629791363
  NPD (past)

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

{
    "created_epoch": "1636243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1811652589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 DEANSBORO DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812681",
            "telephone_number": "614-961-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 RAVINES EDGE CT STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355426",
            "telephone_number": "614-410-8827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Cross Pointe Rd Ste 800D",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432306687",
            "country_code": "US",
            "telephone_number": "614-835-6068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MELISSA",
        "middle_name": "M",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-07",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luewana Kim Jackson
• Lykeishia Jackson
• Megan Louise Jackson, RN
• Melissa Jackson
• Melissa A Jackson
• Michael Jackson
• Michelle Patricia Jackson, RN, MS, APRN-BC
• Monica Jackson
• Nakia Jackson, STNA
• Nicole Jackson

• Clinical Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.