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MR. DERIC R JACKSON LICSW
NPI 1093423337
Social Worker - Clinical in Hastings, MN

Active since November 07, 2022PECOS Enrolled
1320 S FRONTAGE RD STE 200, HASTINGS, MN 55033(651) 500-0905 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 28, 2022, Nov 7, 2022 (2 updates tracked since 2022).

About Mr. Deric R Jackson Licsw NPPES

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

MR. DERIC R JACKSON LICSW (NPI 1093423337) is an individual clinical provider in Hastings, Minnesota, licensed in Minnesota (21544) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093423337
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DERIC R JACKSONCredential: LICSW
Location Address1320 S FRONTAGE RD STE 200Hastings, MN 55033-2481
Mailing Address1320 S Frontage RdHastings, MN 55033-2684 · (651) 500-0905
Phone(651) 500-0905
Sole ProprietorNo
Enumeration DateNovember 7, 2022
Last NPPES UpdateNovember 28, 20222 updates tracked since enumeration
NPPES CertifiedNovember 28, 2022
✔ NPI 1093423337 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 MN · 21544
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.
1320 S FRONTAGE RD STE 200, Hastings, MN 55033
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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)

Mr. Deric R Jackson Licsw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55033 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 6

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

KIMBERLY MARIE CLEMINSON LICSW
Social Worker (Clinical)
1320 S FRONTAGE RD STE 200
HASTINGS, MN 55033
Dakota County (651) 500-0905
NAOMI EDEN LAMFT
Marriage & Family Therapist
1320 S FRONTAGE RD STE 200
HASTINGS, MN 55033
Dakota County (651) 500-0905
ANNE SOLVBERG HEWITT LPCC
Counselor (Mental Health)
1320 S FRONTAGE RD STE 200
HASTINGS, MN 55033
Dakota County (651) 500-0905
BETH ELLEN VONGEMMINGEN LPCC, LADC
Counselor (Professional)
1320 S FRONTAGE RD STE 200
HASTINGS, MN 55033
Dakota County (651) 500-0905
HUNTER HAGER MA, LADC
Counselor (Addiction (Substance Use Disorder))
1320 S FRONTAGE RD STE 200
HASTINGS, MN 55033
Dakota County (651) 500-0905
MRS. ALAINE VIOLA LAGASSE LPCC
Counselor (Professional)
1320 S FRONTAGE RD STE 200
HASTINGS, MN 55033
Dakota County (651) 500-0905

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 Deric Jackson's NPI number?

The NPI number for Deric Jackson is 1093423337. It was assigned to this individual provider in the NPPES registry on November 7, 2022.

Where is Deric Jackson located?

Deric Jackson practices at 1320 S Frontage Rd Ste 200, Hastings, MN 55033. The listed phone number is (651) 500-0905.

What is Deric Jackson's specialty?

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

Is Deric Jackson enrolled in Medicare?

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

What insurance does Deric Jackson accept?

Health plans from HealthPartners list Deric 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 Deric Jackson was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.