REBECCA CANDLAND JACKLIN LMSW - NPI 1235704990

Q: What is Rebecca Jacklin's NPI number?

The NPI number for Rebecca Jacklin is 1235704990. It was assigned to this individual provider in the NPPES registry on May 25, 2021.

Q: What is Rebecca Jacklin's specialty?

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

Q: Is Rebecca Jacklin enrolled in Medicare?

No. Rebecca Jacklin has opted out of Medicare through June 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Jacklin was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

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About Rebecca Candland Jacklin Lmsw NPPES

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

REBECCA CANDLAND JACKLIN LMSW (NPI 1235704990) is an individual clinical provider in Katy, Texas, licensed in Texas (68978) and active in the NPI registry since May 2021. She has opted out of Medicare through June 10, 2027.

NPPES Registry Identity

NPI1235704990

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameREBECCA CANDLAND JACKLINCredential: LMSW

Location Address633 E FERNHURST DR STE 304Katy, TX 77450-1586

Mailing Address16019 Diana LnHouston, TX 77062-4406 · (832) 549-9444

Phone(817) 753-0022

Sole ProprietorYes

Enumeration DateMay 25, 2021

NPPES CertifiedMay 25, 2021

✔ NPI 1235704990 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 TX · 68978

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.

633 E FERNHURST DR STE 304, Katy, TX 77450

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Other Identifiers 1

Other68978TX · State License

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Rebecca Candland Jacklin Lmsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 10, 2025 through June 10, 2027.

Opt-Out Effective DateJune 10, 2025

Opt-Out In Effect ThroughJune 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

REBECCA ADADZEWA OMENUKOR

Registered Nurse (Psychiatric/Mental Health)