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AUDREY LEE JACKSON MSW
NPI 1093237943
Social Worker - Clinical in Ypsilanti, MI

Active since July 12, 2017PECOS EnrolledAccepts Medicare Assignment
811 YOUNG ST, YPSILANTI, MI 48198(734) 352-9474 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2025, Jan 22, 2020, Jul 12, 2017 (3 updates tracked since 2017).

About Audrey Lee Jackson Msw NPPES

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

AUDREY LEE JACKSON MSW (NPI 1093237943) is an individual clinical provider in Ypsilanti, Michigan, licensed in Michigan (6801105658) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1093237943
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAUDREY LEE JACKSONCredential: MSW
Location Address811 YOUNG STYpsilanti, MI 48198
Mailing Address811 Young StYpsilanti, MI 48198-4021 · (734) 352-9474
Phone(734) 352-9474
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJuly 12, 2017
Last NPPES UpdateJune 11, 20253 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1093237943 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 MI · 6801105658
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.
811 YOUNG ST, Ypsilanti, MI 48198
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Audrey Lee Jackson Msw 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 ID6204240427
PECOS Enrollment IDI20210129002230
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 48198 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 $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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 Audrey Jackson's NPI number?

The NPI number for Audrey Jackson is 1093237943. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Where is Audrey Jackson located?

Audrey Jackson practices at 811 Young St, Ypsilanti, MI 48198. The listed phone number is (734) 352-9474.

What is Audrey Jackson's specialty?

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

Is Audrey Jackson enrolled in Medicare?

Yes. Audrey 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.

What insurance does Audrey Jackson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 5 other insurers list Audrey 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 Audrey Jackson was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.