MRS. BRANDI NICOLE JACKSON (MSW) – Clinical Social Worker, NPI 1255793501

MRS. BRANDI NICOLE JACKSON (MSW) is a healthcare provider. based in Hayward, California. specializing in Clinical Social Worker. They hold the professional credentials MSW. They hold a License No. 89088 (CA). The NPI Number for MRS. BRANDI NICOLE JACKSON (MSW) is 1255793501

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. BRANDI NICOLE JACKSON (MSW)
NPI
1255793501
Phone
(503) 481-6911
Address
963 W TENNYSON RD APT 48
Enumeration Date
25 March 2016
Last Update Date
11 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5106750600
Graduation Year
2015 (11 years ago)
PAC ID
9335571256
Group Practice PAC ID
1052580115
Professional Enrollment ID
I20191114003298
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for MRS. BRANDI NICOLE JACKSON (MSW)

  • 963 W TENNYSON RD APT 48

    HAYWARD, CA 945445132

    Phone: (503) 481-6911

    Type: Mailing

  • 4470 W Sunset Blvd Ste 107

    Los Angeles, CA 900276309

    Phone: (510) 674-5555

    Type: Location

  • 9955 Black Mountain Rd

    San Diego, CA 921264514

    Phone: (510) 674-5555

    Type: Location

  • 22505 WOODROE AVE

    HAYWARD, CA 945413410

    Phone: (510) 318-6112

    Type: Location

  • 4470 W SUNSET BLVD STE 107

    LOS ANGELES, CA 900276309

    Phone: (510) 674-5555

    Type: Mailing

  • 5504 MONTEREY HWY

    SAN JOSE, CA 951381529

    Phone: (510) 674-5555

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-16

PECOS data refreshed: 2026-05-27

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94544)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052580115View full group profile
NameSpecialtyState
P S Y C H I A T R YCA
P S Y C H I A T R YAL
P S Y C H I A T R YCA
P S Y C H I A T R YIL
-CA
P S Y C H I A T R YNJ
Nurse PractitionerCA
-CA
-CA
N E U R O P S Y C H I A T R YNY

Reviews

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Frequently asked questions

What identifier follows MRS. BRANDI NICOLE JACKSON (MSW) across health systems?
The NPI 1255793501 uniquely identifies MRS. BRANDI NICOLE JACKSON (MSW) in U.S. healthcare data.
Is MRS. BRANDI NICOLE JACKSON (MSW)'s NPI status active today?
Active status means MRS. BRANDI NICOLE JACKSON (MSW)'s NPI record is not deactivated in the public file.
What type of care does MRS. BRANDI NICOLE JACKSON (MSW) provide?
MRS. BRANDI NICOLE JACKSON (MSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. BRANDI NICOLE JACKSON (MSW)?
MRS. BRANDI NICOLE JACKSON (MSW) is associated with Hayward, California in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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