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LUCILLE JACKSON LCSW
NPI 1053595819
Social Worker - Clinical in New York, NY

Active since December 28, 2007PECOS EnrolledAccepts Medicare Assignment
441 W END AVE, SUITE 1B, NEW YORK, NY 10024(917) 232-7422(718) 548-6985 Get Directions Write a Review

NPPES record last updated: March 29, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lucille Jackson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUCILLE JACKSON LCSW (NPI 1053595819) is an individual clinical provider in New York, New York, licensed in New York (RO50134-1) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1053595819
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLUCILLE JACKSONCredential: LCSW
Location Address441 W END AVE, SUITE 1BNew York, NY 10024-5326
Mailing Address441 W End Ave, Suite 1bNew York, NY 10024-5326 · (917) 232-7422 · Fax (718) 548-6985
Phone(917) 232-7422
Fax(718) 548-6985
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateDecember 28, 2007
Last NPPES UpdateMarch 29, 2011
✔ NPI 1053595819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · RO50134-1
Definition
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.
441 W END AVE, New York, NY 10024
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lucille Jackson Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567648702
PECOS Enrollment IDI20110523000849
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $65.69 – $198.19
Typical copayment $0.00 (range $16.42 – $49.54)
Most-billed visit code NA
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AIMEE RADOM PHD
Psychologist
441 W END AVE, SUITE 1G
NEW YORK, NY 10024
New York County (212) 729-7222
STEPHANIE ROTH LCSW
Social Worker (Clinical)
441 W END AVE, SUITE 1D
NEW YORK, NY 10024
New York County (917) 309-8083
DR. BARBARA LOUISE BLUM PH.D.
Psychologist
441 W END AVE, 2C
NEW YORK, NY 10024
New York County (212) 799-4607
MS. ELLEN MARCH FEINSTEIN CSW
Social Worker (Clinical)
441 W END AVE, SUITE 1F
NEW YORK CITY, NY 10024
New York County (212) 496-7037
STEVEN B. TAMARIN MEDICAL PC
Family Medicine
441 W END AVE, 1J
NEW YORK, NY 10024
New York County (212) 496-2291
MS. HELEN MANDLIN CSW
Psychoanalyst
441 W END AVE, SUITE #1F
NEW YORK, NY 10024
New York County (212) 579-1330
DR. NANCY CATHERINE JONES PSY. D
Psychologist (Clinical)
441 W END AVE, SUITE #2C
NEW YORK, NY 10024
New York County (212) 769-4705
MS. BARBARA L. STELZER LCSW
Social Worker (Clinical)
441 W END AVE, SUITE 1F
NEW YORK, NY 10024
New York County (212) 363-3934

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lucille Jackson's NPI number?

The NPI number for Lucille Jackson is 1053595819. It was assigned to this individual provider in the NPPES registry on December 28, 2007.

Where is Lucille Jackson located?

Lucille Jackson practices at 441 W End Ave Suite 1B, New York, NY 10024. The listed phone number is (917) 232-7422.

What is Lucille Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lucille Jackson enrolled in Medicare?

Yes. Lucille Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lucille Jackson was last updated on March 29, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.