Kim Jackson, LISW
Kim Jackson, LISW is a provider specialising in Clinical Social Worker in Cleveland, OH, registered under NPI 1003126699.
Getting there
Here is what surrounds this office in Cleveland, based on OpenStreetMap data collected Sep 6, 2026. Parking is available about 364 ft away. The nearest transit stop is 0.35 mi away, served by East 40th Street. A pharmacy sits 0.33 mi from the entrance (AHF Pharmacy), which helps if you leave with a prescription.
Getting here and what is nearby
Parking 272 ft ~2 min
Parking 349 ft ~2 min
Parking 364 ft ~2 min
Restaurant McDonald's 700 ft ~3 min
3050 Carnegie Avenue, Cleveland 44115
Fr-Sa 04:00-03:00; Su-Th 04:00-11:00
Gas station Shell Gas Station 971 ft ~4 min
Transit East 36th Street 1,023 ft ~4 min
Restaurant Subway 0.22 mi ~5 min
3636 Euclid Avenue, Cleveland 44115
Mo-Fr 09:00-18:00; Sa 10:00-14:00
Restaurant KFC 0.22 mi ~5 min
Transit East 30th Street 0.27 mi ~6 min
Convenience Square Deal 0.31 mi ~7 min
Pharmacy AHF Pharmacy 0.33 mi ~7 min
Transit East 40th Street 0.35 mi ~7 min
Gas station BP 0.44 mi ~9 min
Convenience mini-Mart 0.45 mi ~9 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| I2506226 | OH | Clinical Social Worker primary |
This provider holds licence I2506226 issued in OH. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Clinical Social Worker
- PAC ID
- 1850816877
- Enrollment ID
- I20250422002574
Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Social Worker. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Clinical covers
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. NUCC Health Care Provider Taxonomy, code 1041C0700X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003126699 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Oct 15, 2010 |
| Last updated | Sep 22, 2025 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | LISW |
| Practice address |
3500 CARNEGIE AVE Cleveland, OH 44115 (440) 260-8554 |
| Other identifiers |
0268768
· Medicaid (OH) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 1 | 2 | 6 | 6 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 2 | 2 | 3 | 6 | 9 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.