Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427611151 Individual Practitioner Male Practitioner

Brandon Clark Jackson , LMSW

Social Worker • Elmhurst, NY

Professional Overview & Biography Verified Profile Summary

Brandon Jackson, LMSW is a registered healthcare professional specializing in Social Worker in Elmhurst, NY. Practice services are available at 7901 BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7901 Broadway

Elmhurst, NY 113731329

Telephone 7183964515
Associated Practice Facility / Clinic
🏢 Newtown Dialysis Center, Inc Facility NPI 1801883707

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Elmhurst, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.3 Yrs
State Avg: 20.1 Yrs
Regional Practice Density
192 Specialists

Practicing in Elmhurst, NY (23970 Statewide)

Telehealth Adoption Rate
1.6% 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: 2026-03-10
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License NY 101654-1

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
Paul Powell , PA

Physician Assistant

NPI 1003277476

Physician Assistant

Dr. Rudra Koul , MD

Internal Medicine - Pulmonary Disease

NPI 1003376211

Doctor of Medicine (M.D.)

NPI 1003477332

Doctor of Medicine (M.D.)

Josh Kleinmuntz , LCSW

Social Worker - Clinical

NPI 1003598517

Licensed Clinical Social Worker

NPI 1003667577

Licensed Master Social Worker

Dr. Colin Carpenter , DO

Student in an Organized Health Care Education/Training Program

NPI 1003669698

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 10, 2026

Registered at 7901 BROADWAY, ELMHURST, NY 113731329 (Tel: 7183964515)

📍
Updated Business Mailing Address March 10, 2026

Registered at 7901 BROADWAY, ELMHURST, NY 113731329 (Tel: 7183964515)

NPI Profile Active April 18, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 18, 2019

Registered at 42-77 65TH PLACE, WOODSIDE, NY 113775054 (Tel: 7184292000)

📍
Updated Business Mailing Address April 18, 2019

Registered at 517 E 77TH ST APT 1I, NEW YORK, NY 100758865 (Tel: 9174998149)

👤
Provider Name / Credentials Updated April 18, 2019

Recorded as BRANDON JACKSON, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2019

Social Worker (License #101654-1 in NY)

🟢
Initial NPI Registration & Enumeration April 18, 2019

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: 1427611151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2019
Last Update: March 10, 2026
Sole Proprietor: Yes

Mailing Address

7901 Broadway

Elmhurst, NY 113731329

Phone: 7183964515

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.