JACKEY JETT WILSON NPI 1831336791

NPI Information

  • NPI: 1831336791
  • Provider Name: JACKEY JETT WILSON
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • Address: 1680 THE ALAMEDA STE D
    SAN JOSE, CA
    ZIP 95126
  • Phone: (650) 444-3189

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NPI Details

Jackey Jett Wilson is a social worker in San Jose, CA. The provider is 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. Jackey Jett Wilson NPI is 1831336791. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1680 THE ALAMEDA STE D
SAN JOSE, CA
ZIP 95126-208
Phone: (650) 444-3189

The enumeration date for this NPI number is 1/14/2009 and was last updated on 8/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care CoordinatorNo
2104100000XSocial WorkerASW105906CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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