DESHIKA VENEZIO BODHI JACKSON MSW, LSWAIC
NPI 1164065108
Social Worker in Seattle, WA
About Deshika Venezio Bodhi Jackson Msw, Lswaic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DESHIKA VENEZIO BODHI JACKSON MSW, LSWAIC (NPI 1164065108) is an individual social worker in Seattle, Washington, licensed in Washington (60997028) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Deshika Venezio Bodhi Jackson Msw, Lswaic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Deshika Bodhi Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Seattle, WA 98144
- Reassigned Medicare billing, Washington enrollment
- 53 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.
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.
SEATTLE, WA 98144
SEATTLE, WA 98144
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 Deshika Bodhi Jackson's NPI number?
The NPI number for Deshika Bodhi Jackson is 1164065108. It was assigned to this individual provider in the NPPES registry on October 22, 2019. The provider is also known as Deshikia Venezio Bodhi-Jackson.
Where is Deshika Bodhi Jackson located?
Deshika Bodhi Jackson practices at 611 12th Ave S, Seattle, WA 98144. The listed phone number is (206) 324-9360.
What is Deshika Bodhi Jackson's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Deshika Bodhi Jackson enrolled in Medicare?
Yes. Deshika Bodhi Jackson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Deshika Bodhi Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Deshika Bodhi Jackson reassigns Medicare benefits to Seattle Indian Health Board (Seattle, WA). 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 Deshika Bodhi Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Deshika Bodhi Jackson accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Deshika Bodhi 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 Deshika Bodhi Jackson was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Deshika Venezio Bodhi Jackson, MSW, LSWAIC · NPI 1164065108
Social Worker provider in Seattle, Washington. Individual provider, active in the CMS NPPES registry since October 22, 2019.
## Identity
- **NPI:** 1164065108 (Entity type: Individual)
- **Enumerated:** October 22, 2019
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 60997028 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 611 12TH AVE S, Seattle, WA 98144-2007
- **Phone:** (206) 324-9360
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Seattle Indian Health Board (NPI 1316012461, Seattle, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 28, 2026
- **Other identifiers:** Other 60997028 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1164065108) · Data from the CMS NPPES public registry.