Active NPI
Nekkesia Jackson
- Social Worker
- Louisville, KY
National Provider Identifier
1891629994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CSW00001424
- Practice address
- 2801 Virginia Ave
Louisville, KY 40211-3418 - Phone
- (502) 963-5677
- NPI assigned
- Jun 11, 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | CSW00001424 | KY | Primary |
Addresses
Primary practice location
2801 Virginia Ave
Louisville, KY 40211-3418
Mailing address
8803 Furlong Dr Apt 10
Louisville, KY 40242-7504
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": "1781136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1891629994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8803 FURLONG DR APT 10",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402427504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 VIRGINIA AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402113418",
"telephone_number": "502-963-5677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "NEKKESIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-11",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "KY",
"license": "CSW00001424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.