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MS. KASSANDRA LYNN JACKSON LMSW
NPI 1083960942
Social Worker in Livonia, MI

Active since July 30, 2012PECOS Enrolled
17940 FARMINGTON RD, LIVONIA, MI 48152(517) 234-3627 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2024, Aug 20, 2018 (2 updates tracked since 2018).

About Ms. Kassandra Lynn Jackson Lmsw NPPES

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

MS. KASSANDRA LYNN JACKSON LMSW (NPI 1083960942) is an individual social worker in Livonia, Michigan, licensed in Michigan (6801093643) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083960942
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMS. KASSANDRA LYNN JACKSONCredential: LMSW
Location Address17940 FARMINGTON RDLivonia, MI 48152-4444
Mailing Address5420 Provincial DrBloomfield Hills, MI 48302-2539 · (248) 830-7782
Phone(517) 234-3627
Sole ProprietorYes
Enumeration DateJuly 30, 2012
Last NPPES UpdateJune 10, 20242 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
✔ NPI 1083960942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MI · 6801093643
Definition

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.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6801093643 (MI)
17940 FARMINGTON RD, Livonia, MI 48152
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14200 Whitehall Dr Ste 330Ann Arbor, MI 48105 · Phone (734) 434-0477 · Fax (734) 434-6240
Location 218316 Middlebelt RdLivonia, MI 48152-5007 · Phone (248) 615-9730 ext. 4865 · Fax (248) 615-1260

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kassandra Lynn Jackson Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

JUSTIN TRAVIS GILLESPIE LLMSW
Social Worker
17940 FARMINGTON RD
LIVONIA, MI 48152
Wayne County (586) 210-6148
ROBERT KEITH GRAHAM DCSW
Social Worker (Clinical)
17940 FARMINGTON RD, SUITE 225
LIVONIA, MI 48152
Wayne County (734) 466-3311
DR. SRIDEVI KODALI M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
17940 FARMINGTON RD, SUITE 230
LIVONIA, MI 48152
Wayne County (734) 422-4748
MS. BRYNA ANGELIQUE BOSLEY LMSW
Social Worker (Clinical)
17940 FARMINGTON RD
LIVONIA, MI 48152
Wayne County (734) 858-0280
KATE ILDIKO POGANY LMSW
Social Worker (Clinical)
17940 FARMINGTON RD
LIVONIA, MI 48152
Wayne County (734) 762-0909
MS. MICHELLE MARIE ZMICH LMT
Massage Therapist
17940 FARMINGTON RD
LIVONIA, MI 48152
Wayne County (248) 599-2410
EMILY NADIS SILVER LMSW
Social Worker
17940 FARMINGTON RD
LIVONIA, MI 48152
Wayne County (248) 798-7191
LAURA ROELL
Psychologist
17940 FARMINGTON RD
LIVONIA, MI 48152
Wayne County (248) 924-4549

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 Kassandra Jackson's NPI number?

The NPI number for Kassandra Jackson is 1083960942. It was assigned to this individual provider in the NPPES registry on July 30, 2012.

Where is Kassandra Jackson located?

Kassandra Jackson practices at 17940 Farmington Rd, Livonia, MI 48152. The listed phone number is (517) 234-3627.

What is Kassandra Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kassandra Jackson enrolled in Medicare?

Yes. Kassandra Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Kassandra Jackson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 2 other insurers list Kassandra Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kassandra Jackson was last updated on June 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.