Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609424902 Individual Practitioner Female Practitioner

Elizabeth Sheree Jackson , LSW

Social Worker • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Elizabeth Jackson, LSW is a registered healthcare professional specializing in Social Worker in Dayton, OH. Practice services are available at 2640 SAINT CHARLES AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2640 Saint Charles Ave

Dayton, OH 454103147

Telephone 9375860435
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.6 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
419 Specialists

Practicing in Dayton, OH (11526 Statewide)

Telehealth Adoption Rate
0.5% 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: 2023-03-23
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License OH S.1904068

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

10 Associated Practitioners
NPI 1033616313

Master of Social Work

NPI 1275048779

Licensed Social Worker

Peter Miller

Counselor - Mental Health

NPI 1285102889
Maria Powell , QMHP

Case Manager/Care Coordinator

NPI 1306202213

Qualified Mental Health Professional

Alexis Muse

Social Worker

NPI 1649839424
NPI 1730625781

LPCCS

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location April 06, 2023

Registered at 2640 SAINT CHARLES AVE, DAYTON, OH 454103147 (Tel: 9375860435)

📍
Updated Business Mailing Address April 06, 2023

Registered at 2640 SAINT CHARLES AVE, DAYTON, OH 454103147 (Tel: 9375860435)

📍
Updated Practice Location October 21, 2022

Registered at 705 S BROWN SCHOOL RD, VANDALIA, OH 453773113 (Tel: 9378905400)

📍
Updated Business Mailing Address October 21, 2022

Registered at 705 S BROWN SCHOOL RD, VANDALIA, OH 453773113 (Tel: 9378905400)

📍
Updated Practice Location September 22, 2021

Registered at 2640 SAINT CHARLES AVE, DAYTON, OH 454103147 (Tel: 9375860435)

📍
Updated Business Mailing Address September 22, 2021

Registered at 401 E MCMILLAN ST, CINCINNATI, OH 452061922 (Tel: 5132213350)

📍
Updated Practice Location June 10, 2021

Registered at DECOACH, 302 W. MAIN ST., FAIRBORN, OH 45324 (Tel: 9372814673)

📍
Updated Business Mailing Address June 10, 2021

Registered at DECOACH, 302 W. MAIN ST., FAIRBORN, OH 45324 (Tel: 9372814673)

👤
Provider Name / Credentials Updated June 10, 2021

Recorded as ELIZABETH JACKSON, LSW

NPI Profile Active August 29, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 29, 2019

Registered at 2640 SAINT CHARLES AVE, DAYTON, OH 454103147 (Tel: 9375860435)

📍
Updated Business Mailing Address August 29, 2019

Registered at 401 E MCMILLAN ST, CINCINNATI, OH 452061922 (Tel: 5137392490)

👤
Provider Name / Credentials Updated August 29, 2019

Recorded as ELIZABETH JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2019

Social Worker (License #S.1904068 in OH)

🟢
Initial NPI Registration & Enumeration August 29, 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: 1609424902
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2019
Last Update: April 06, 2023
Sole Proprietor: No

Mailing Address

2640 Saint Charles Ave

Dayton, OH 454103147

Phone: 9375860435

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.