Amanda Ann Jackson, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

100487-01 Issued in NY

Practice address

8207 Main St Ste 12
Williamsville, NY 14221-6060

Phone

(716) 381-0770

NPI assigned

Sep 4, 2019

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

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1982252896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6039 EMERSON DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272371",
            "telephone_number": "716-381-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 MAIN ST STE 12",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216060",
            "telephone_number": "716-381-0770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "895 N Forest Rd",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142214422",
            "country_code": "US",
            "telephone_number": "716-204-7750",
            "fax_number": "716-815-5006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3620 Harlem Rd Ste 15",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142152042",
            "country_code": "US",
            "telephone_number": "716-204-7750",
            "fax_number": "716-815-5006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3620 Harlem Rd Ste 15",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142152042",
            "country_code": "US",
            "telephone_number": "716-936-7556",
            "fax_number": "716-204-7750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142041325",
            "country_code": "US",
            "telephone_number": "716-936-7556",
            "fax_number": "716-204-7750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "895 N Forest Rd",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142214422",
            "country_code": "US",
            "telephone_number": "716-936-7556",
            "fax_number": "716-204-7750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142041325",
            "country_code": "US",
            "telephone_number": "716-204-7750",
            "fax_number": "716-815-5006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8207 Main St Ste 12",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142216060",
            "country_code": "US",
            "telephone_number": "716-381-0770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6039 Emerson Dr",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141272371",
            "country_code": "US",
            "telephone_number": "716-381-0770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "AMANDA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "100487-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Isch, PTA
• Dalia Ismail, MBBCH
• Tyann Iveys, RN
• J Fitness Inc
• Carol Ann Jackson-Gibson, MD
• Cynthia Ann Jackson, LCSW-R,CASAC,CEAP
• Gerri Jackson, LPNN
• Karen Jackson, L.P.N.
• Katrina Marie Jackson
• Shanika Jackson

• Social Worker in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.