Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Sandra W. Jackson, EDD

Individual provider Clinical Social Worker · NPI 1205035003

Dr. Sandra W. Jackson, EDD is a Clinical Social Worker in Poplar Bluff, Missouri. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

See every abbreviation used in this directory →

Practice location Address checks out

1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318
Phone: (573) 778-4740
Fax: (573) 778-4156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC01019000 (NJ)

Record details

NPI number1205035003
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDD
Sole proprietorYes
NPI enumeratedJuly 12, 2007
Last updated in NPPESJuly 12, 2007

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