Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487976387 Individual Practitioner Male Practitioner

Mark Henry Jackson , LCSW

Social Worker - Clinical • Clovis, CA

Professional Overview & Biography Verified Profile Summary

Mark Jackson, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Clovis, CA. Practice services are available at 3097 WILLOW AVE STE 9 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3097 Willow Ave Ste 9

Clovis, CA 936124715

Telephone 5592580545
Fax 5598200211

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Clovis, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
52 Specialists

Practicing in Clovis, CA (37073 Statewide)

Telehealth Adoption Rate
5.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-28
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License CA 60523

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Eleanor Uribe , LCSW, PPSC

Social Worker - Clinical

NPI 1477836476

Licensed Clinical Social Worker, PPSC

Laura Espindola , LCSW

Counselor - Mental Health

NPI 1710018593

Licensed Clinical Social Worker

Elizabeth Urbano , MSW, LCSW

Social Worker - Clinical

NPI 1821141466

Master of Social Work, Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location June 03, 2024

Registered at 3097 WILLOW AVE STE 9, CLOVIS, CA 936124715 (Tel: 5592580545)

📍
Updated Business Mailing Address June 03, 2024

Registered at 3097 WILLOW AVE STE 9, CLOVIS, CA 936124715 (Tel: 5592580545)

📍
Updated Practice Location August 31, 2023

Registered at 7575 N CEDAR AVE STE 102, FRESNO, CA 937202693 (Tel: 5592033775)

📍
Updated Business Mailing Address August 31, 2023

Registered at 7575 N CEDAR AVE STE 102, FRESNO, CA 937202693 (Tel: 5592033775)

👤
Provider Name / Credentials Updated August 31, 2023

Recorded as MARK JACKSON, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2023

Social Worker (License #60523 in CA)

NPI Profile Active January 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 17, 2014

Registered at 2031 E DIVISADERO ST, FRESNO, CA 937012013 (Tel: 5594575960)

📍
Updated Business Mailing Address January 17, 2014

Registered at 2031 E DIVISADERO ST, FRESNO, CA 937012013 (Tel: 5594575960)

👤
Provider Name / Credentials Updated January 17, 2014

Recorded as MARK JACKSON, LCSW, M-RAS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2014

Counselor (License #J1011051440 in CA)

🟢
Initial NPI Registration & Enumeration February 18, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Mark Jackson. Be the first to share your experience!

Sign in to leave a review for Mark Jackson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1487976387
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2010
Last Update: June 28, 2024
Sole Proprietor: Yes

Mailing Address

3097 Willow Ave Ste 9

Clovis, CA 936124715

Phone: 5592580545

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.