KELSEE B JACKSON
NPI 1104619659
Social Worker - Clinical in Rio Grande, NJ
About Kelsee B Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEE B JACKSON (NPI 1104619659) is an individual clinical provider in Rio Grande, New Jersey, licensed in New Jersey (44SL06898900) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelsee B Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08242 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kelsee Jackson's NPI number?
The NPI number for Kelsee Jackson is 1104619659. It was assigned to this individual provider in the NPPES registry on May 27, 2025.
Where is Kelsee Jackson located?
Kelsee Jackson practices at 1127 Nj-47 Ste 9, Rio Grande, NJ 08242. The listed phone number is (856) 839-5678.
What is Kelsee Jackson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kelsee Jackson enrolled in Medicare?
Yes. Kelsee Jackson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelsee Jackson was last updated on May 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
