Richard Allen Jackson, LICSW
NPI 1629520770ActiveIndividual· Social Worker, Clinical· Brainerd, MN
Social Worker, Clinical (LICSW) with The Therapist, practicing in Brainerd, Minnesota. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1629520770 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | Yes |
| NPI issued | Oct 25, 2016 |
| Last updated in NPPES | Apr 12, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 23282 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- The TherapistBrainerd, MN · 7 clinicians
Other clinical social workers in Brainerd
- 1164291902
- 1174471569
- 1447996178
- 1518067750
- 1811795461
- 1861965964
- 1932912300
- 1184296196
- 1255853370
- 1295992907
- 1467984484
- 1568347730
All 69 clinical social workers in Brainerd · All clinical social workers in Minnesota