LAUREN TRACY JACKSON LMSW
NPI 1164149076
Social Worker in West Hartford, CT

Q: What is Lauren Jackson's NPI number?

The NPI number for Lauren Jackson is 1164149076. It was assigned to this individual provider in the NPPES registry on October 21, 2022.

Q: What is Lauren 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 Lauren Jackson was last updated on October 21, 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.

Active since October 21, 2022PECOS EnrolledAccepts Medicare Assignment

125 LASALLE RD STE 300, WEST HARTFORD, CT 06107(860) 916-5106 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lauren Tracy Jackson Lmsw NPPES

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

LAUREN TRACY JACKSON LMSW (NPI 1164149076) is an individual social worker in West Hartford, Connecticut and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164149076

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameLAUREN TRACY JACKSONCredential: LMSW

Location Address125 LASALLE RD STE 300West Hartford, CT 06107-2311

Mailing Address125 Lasalle Rd Ste 300West Hartford, CT 06107-2311 · (860) 916-5106

Phone(860) 916-5106

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 21, 2022

NPPES CertifiedOctober 20, 2022

✔ NPI 1164149076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

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.

125 LASALLE RD STE 300, West Hartford, CT 06107

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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

Lauren Tracy Jackson Lmsw 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 ID2163950403

PECOS Enrollment IDI20250114001733

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.

Other Providers at the Same Location NPPES 8

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

MR. MICHAEL GEORGE LAURETTI JR.

Social Worker (Clinical)