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GARRICK D JACKSON LCSW
NPI 1124287594
Social Worker in Klamath Falls, OR

Active since June 02, 2008PECOS EnrolledAccepts Medicare Assignment
2545 N ELDORADO AVE, KLAMATH FALLS, OR 97601(541) 883-3471(541) 883-3524 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Garrick D Jackson Lcsw NPPES

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

GARRICK D JACKSON LCSW (NPI 1124287594) is an individual social worker in Klamath Falls, Oregon, licensed in Oregon (A2147) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1124287594
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameGARRICK D JACKSONCredential: LCSW
Location Address2545 N ELDORADO AVEKlamath Falls, OR 97601-6423
Mailing Address2545 N Eldorado AveKlamath Falls, OR 97601-6423 · (541) 883-3471 · Fax (541) 883-3524
Phone(541) 883-3471
Fax(541) 883-3524
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 2, 2008
Last NPPES UpdateFebruary 16, 2012
✔ NPI 1124287594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in OR · A2147
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.
2545 N ELDORADO AVE, Klamath Falls, OR 97601
Open in Google Maps ↗

Other Identifiers 1

Medicaid090450OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and more.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

Garrick D Jackson Lcsw 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 ID5193983591
PECOS Enrollment IDI20120214000669
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 Reassignment

Medicare enrollment records show Garrick Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lutheran Community Services Northwest
0.1 mi
Mental Health (Including Community Mental Health Center)
2545 N ELDORADO AVE
Klamath Falls, OR 97601
  • Reassigned Medicare billing, Oregon enrollment
  • 20 clinicians in this Medicare group
NPI 1720105489 (541) 883-3471

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
50 services14 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
15 services15 patients

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.

CASEY LOCKE CADC II
Counselor (Addiction (Substance Use Disorder))
2545 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 205-3459
DONNA M BERGMANN PHD
Counselor (Mental Health)
2545 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-3471
TRAVIS THOMAS
Counselor (Mental Health)
2545 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-3524
NORA LEA FOSTER QMHP-C
Counselor (Mental Health)
2545 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-3471
ISABELLA L HAWKINS B.S
Counselor (Addiction (Substance Use Disorder))
2545 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-3471
LUTHERAN COMMUNITY SERVICES NORTHWEST
Clinic/Center (Rehabilitation, Substance Use Disorder)
2545 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-3471
MS. SHAWNDA LEE POWLESS
Counselor (Mental Health)
2545 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-3471
MRS. JENNIFER L CANNON NOLES BS
Counselor (Addiction (Substance Use Disorder))
2545 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-3471

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 Garrick Jackson's NPI number?

The NPI number for Garrick Jackson is 1124287594. It was assigned to this individual provider in the NPPES registry on June 2, 2008.

Where is Garrick Jackson located?

Garrick Jackson practices at 2545 N Eldorado Ave, Klamath Falls, OR 97601. The listed phone number is (541) 883-3471.

What is Garrick Jackson's specialty?

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

Is Garrick Jackson enrolled in Medicare?

Yes. Garrick 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 organization bills Medicare for Garrick Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Garrick Jackson reassigns Medicare benefits to Lutheran Community Services Northwest (Klamath Falls, OR). The 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 Garrick Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Garrick Jackson accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Garrick 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 Garrick Jackson was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.