1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Social Worker
  6. NPI Profile

SHEREKA M JACKSON LCSW
NPI 1205498748
Social Worker - Clinical in Louisville, KY

Active since July 05, 2019PECOS Enrolled
914 E BROADWAY, LOUISVILLE, KY 40204(502) 589-5878(502) 589-8758 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 26, 2022, Jul 5, 2019 (2 updates tracked since 2019).

About Shereka M Jackson Lcsw NPPES

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

SHEREKA M JACKSON LCSW (NPI 1205498748) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (254269) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1205498748
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHEREKA M JACKSONCredential: LCSW
Location Address914 E BROADWAYLouisville, KY 40204-1037
Mailing Address1949 Goldsmith Ln Ste 103Louisville, KY 40218-3096 · (502) 296-4657 · Fax (502) 785-4003
Phone(502) 589-5878
Fax(502) 589-8758
Sole ProprietorYes
Enumeration DateJuly 5, 2019
Last NPPES UpdateAugust 26, 20222 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
✔ NPI 1205498748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KY · 254269
Definition
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.
914 E BROADWAY, Louisville, KY 40204
Open in Google Maps ↗

Secondary Practice Location 1

Location 11949 Goldsmith Ln Ste 103Louisville, KY 40218-3096 · Phone (502) 296-4657 · Fax (502) 785-4003

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shereka M Jackson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JOSEPH SCHAEFER
Counselor
914 E BROADWAY, 3RD FLOOR
LOUISVILLE, KY 40204
Jefferson County (502) 589-1100
STEPHANIE STEWART
Counselor (Mental Health)
914 E BROADWAY, 3RD FLOOR
LOUISVILLE, KY 40204
Jefferson County (502) 589-1100
ELIZABETH SIEVWRIGHT
Social Worker (Clinical)
914 E BROADWAY
LOUISVILLE, KY 40204
Jefferson County (502) 589-8600
JULIANA GROSSI LCSW
Social Worker (Clinical)
914 E BROADWAY
LOUISVILLE, KY 40204
Jefferson County (502) 589-8600
EMILY MILLER
Social Worker
914 E BROADWAY, 2ND FLOOR
LOUISVILLE, KY 40204
Jefferson County (502) 589-8600
NATASHA L SCHAEFER
Social Worker (Clinical)
914 E BROADWAY
LOUISVILLE, KY 40204
Jefferson County (502) 587-8833
MR. WILLIAM HOWARD CREASMAN III LCSW
Social Worker (Clinical)
914 E BROADWAY
LOUISVILLE, KY 40204
Jefferson County (502) 587-8833
MARIA E TREVINO
Social Worker (Clinical)
914 E BROADWAY, 2ND FLOOR
LOUISVILLE, KY 40204
Jefferson County (502) 589-8600

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 Shereka Jackson's NPI number?

The NPI number for Shereka Jackson is 1205498748. It was assigned to this individual provider in the NPPES registry on July 5, 2019.

Where is Shereka Jackson located?

Shereka Jackson practices at 914 E Broadway, Louisville, KY 40204. The listed phone number is (502) 589-5878.

What is Shereka Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shereka Jackson enrolled in Medicare?

Yes. Shereka Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shereka Jackson was last updated on August 26, 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.