Individual provider · Type 1 NPI

Keisha Jackson, LCSW

Clinical Social Worker · St. Charles, MO

NPI number 1922955459 Active

Practice location

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

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2025048875 (MO)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1922955459

Keisha Jackson, LCSW's National Provider Identifier is 1922955459, issued on Mar 13, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Charles, MO. The record was last updated on Apr 29, 2026.