BARBRA JANNET JACKSON LCSW
NPI 1215359005
Social Worker - Clinical in Chula Vista, CA

Q: What is Barbra Jackson's NPI number?

The NPI number for Barbra Jackson is 1215359005. It was assigned to this individual provider in the NPPES registry on January 13, 2014.

Q: What is Barbra Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Barbra Jackson was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since January 13, 2014PECOS Enrolled

1180 THIRD AVE STE C3, CHULA VISTA, CA 91911(619) 691-8164 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 3, 2025, Jun 23, 2025, Oct 4, 2021 (3 updates tracked since 2021).

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About Barbra Jannet Jackson Lcsw NPPES

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

BARBRA JANNET JACKSON LCSW (NPI 1215359005) is an individual clinical provider in Chula Vista, California, licensed in California (130326) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1215359005

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameBARBRA JANNET JACKSONCredential: LCSW

Location Address1180 THIRD AVE STE C3Chula Vista, CA 91911-3139

Mailing AddressPo Box 2569Everett, WA 98213-0569

Phone(619) 691-8164

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJanuary 13, 2014

Last NPPES UpdateJuly 3, 20253 updates tracked since enumeration

NPPES CertifiedJuly 3, 2025

✔ NPI 1215359005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in CA · 130326✔ Licensed in CA · ASW104854

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.

1180 THIRD AVE STE C3, Chula Vista, CA 91911

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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 (PECOS)

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

PECOS PAC ID7618477050

PECOS Enrollment IDI20250821000941

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 91911 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 $62.10 – $184.71

Typical copayment $0.00 (range $15.52 – $46.17)

Most-billed visit code NA

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

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