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

Q: 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.

Q: What is Garrick Jackson's specialty?

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

Q: 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.

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: August 09, 2026.

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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

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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, Regence BlueCross BlueShield of Oregon.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

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.

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))