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CATRIESE CARSON JACKSON LCSW
NPI 1205728789
Social Worker - Clinical in Watseka, IL

Active since July 17, 2025PECOS EnrolledAccepts Medicare Assignment
577 E MARTIN AVE, WATSEKA, IL 60970(815) 549-8575 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Catriese Carson Jackson Lcsw NPPES

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

CATRIESE CARSON JACKSON LCSW (NPI 1205728789) is an individual clinical provider in Watseka, Illinois and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1205728789
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCATRIESE CARSON JACKSONCredential: LCSW
Location Address577 E MARTIN AVEWatseka, IL 60970-2000
Mailing Address1580 W River StKankakee, IL 60901-3242 · (815) 549-8575
Phone(815) 549-8575
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 17, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1205728789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
577 E MARTIN AVE, Watseka, IL 60970
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Catriese Carson 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 ID2264920552
PECOS Enrollment IDI20251020000761
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 Catriese Carson Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Silver Rising Therapy LLC
69 mi
Clinical
15W150 S FRONTAGE RD
Burr Ridge, IL 60527
  • Reassigned Medicare billing, Illinois enrollment
  • 23 clinicians in this Medicare group
NPI 1659254068 (765) 860-7198

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60970 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 2

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

DSI WATSEKA OPERATOR LLC
Assisted Living Facility
577 E MARTIN AVE
WATSEKA, IL 60970
Iroquois County (815) 432-4560
JENNA MARKEL
Social Worker (Clinical)
577 E MARTIN AVE
WATSEKA, IL 60970
Iroquois County (630) 423-5920

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 Catriese Carson Jackson's NPI number?

The NPI number for Catriese Carson Jackson is 1205728789. It was assigned to this individual provider in the NPPES registry on July 17, 2025.

Where is Catriese Carson Jackson located?

Catriese Carson Jackson practices at 577 E Martin Ave, Watseka, IL 60970. The listed phone number is (815) 549-8575.

What is Catriese Carson Jackson's specialty?

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

Is Catriese Carson Jackson enrolled in Medicare?

Yes. Catriese Carson 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 Catriese Carson Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Catriese Carson Jackson reassigns Medicare benefits to Silver Rising Therapy LLC (Burr Ridge, IL). 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 Catriese Carson Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Catriese Carson Jackson was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.