Keisha Jackson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2025048875 Issued in MO

Practice address

3324 Rue Royale St Ste 125
Saint Charles, MO 63301-8321

Phone

(314) 685-0061

NPI assigned

Mar 13, 2026

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1773360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1922955459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 RUE ROYALE ST STE 125",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633018321",
            "telephone_number": "314-685-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 RUE ROYALE ST STE 125",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633018321",
            "telephone_number": "314-685-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KEISHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-13",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2025048875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Irwin
• Johanna Elisabeth Iwaszkowiec, IBCLC
• Romel Izquierdo-Malon, M.D.
• Jody T Jachna, MD
• Jack D. Griffin, Jr., D.M.D., St. Charles, LLC
• Rachel Jackson, DPT
• Katherine Jaenke, MS, CCC-SLP
• Michelle Lynn Jagels, LPC
• Yousaf Jalil, M.D.
• James a. Faber, D.D.S., PC

• Clinical Social Worker in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.