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: October 18, 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 (1978).

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
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Audrey Jackson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Voluntary or Charitable
4925 PACKARD ST
Ann Arbor, MI 48108
  • Reassigned Medicare billing, Michigan enrollment
  • 6 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
5958 N CANTON CENTER RD, SUITE 900
Canton, MI 48187
  • Reassigned Medicare billing, Michigan enrollment
  • 451 clinicians in this Medicare group
Physician Assistant
34841 VETERANS PLAZA
Wayne, MI 48184
  • Reassigned Medicare billing, Michigan enrollment
  • 131 clinicians in this Medicare group
Community/Behavioral Health
882 OAKMAN BLVD, STE. C
Detroit, MI 48238
  • Reassigned Medicare billing, Michigan enrollment
  • 50 clinicians in this Medicare group
Clinical
11480 E. 13 MILE RD
Warren, MI 48093
  • Reassigned Medicare billing, Michigan enrollment
  • 27 clinicians in this Medicare group
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Michigan enrollment
  • 123 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Audrey Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Audrey Jackson reassigns Medicare benefits to 6 organizations: Catholic Social Services Of Washtenaw County (Ann Arbor, MI), Downriver Mental Health Clinic PC (Canton, MI), Pure Psychiatry Of Michigan PLLC (Wayne, MI), Neighborhood Service Organization (Detroit, MI), International Therapy Solutions, PLLC (Warren, MI) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Audrey Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Audrey Jackson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare 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 16 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.