Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891133898 Individual Practitioner Female Practitioner

Phyllis Jackson , LISW

Social Worker • Saint Louis, MO

Professional Overview & Biography Verified Profile Summary

Phyllis Jackson, LISW is a registered healthcare professional specializing in Social Worker in Saint Louis, MO. Practice services are available at 12647 OLIVE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12647 Olive Blvd
Suite 600

Saint Louis, MO 631416393

Telephone 8003253982
Fax 8776859880
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Saint Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
565 Specialists

Practicing in Saint Louis, MO (1936 Statewide)

Telehealth Adoption Rate
0.7% 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

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License NM I-06925

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Robert Vandeborne

Radiologic Technologist

NPI 1053864835
Denise Darden , NNP

Nurse Practitioner - Neonatal

NPI 1083684435
Mark Neuenschwander

Family Medicine

NPI 1093805251
Judith Karlmeier-Hamilton

Occupational Therapist

NPI 1093968455
Gregory Macdonald

Counselor - Addiction (Substance Use Disorder)

NPI 1104077296
Dr. Pamela Adams , MD

Obstetrics & Gynecology

NPI 1104116995

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 12, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2013

Registered at 12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 631416393 (Tel: 8003253982)

📍
Updated Business Mailing Address June 12, 2013

Registered at 12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 631416393 (Tel: 8003253982)

👤
Provider Name / Credentials Updated June 12, 2013

Recorded as PHYLLIS JACKSON, LISW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2013

Social Worker (License #I-06925 in NM)

🟢
Initial NPI Registration & Enumeration June 12, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891133898
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2013
Last Update: June 12, 2013
Sole Proprietor: No

Mailing Address

12647 Olive Blvd, Suite 600

Saint Louis, MO 631416393

Phone: 8003253982

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.