MRS. BRANDI NICOLE JACKSON MSW
NPI 1255793501
Social Worker - Clinical in San Jose, CA

Active since March 25, 2016PECOS Enrolled
5504 MONTEREY HWY, SAN JOSE, CA 95138(510) 674-5555 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2025, Nov 16, 2023, Mar 25, 2016 (3 updates tracked since 2016).

About Mrs. Brandi Nicole Jackson Msw NPPES

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

MRS. BRANDI NICOLE JACKSON MSW (NPI 1255793501) is an individual clinical provider in San Jose, California, licensed in California (89088) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255793501
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. BRANDI NICOLE JACKSONCredential: MSW
Location Address5504 MONTEREY HWYSan Jose, CA 95138-1529
Mailing Address4470 W Sunset Blvd Ste 107Los Angeles, CA 90027-6309 · (510) 674-5555
Sole ProprietorNo
Enumeration DateMarch 25, 2016
Last NPPES UpdateMarch 11, 20253 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
NPI 1255793501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 89088
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 89088 (CA)
5504 MONTEREY HWY, San Jose, CA 95138

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Brandi Nicole Jackson Msw 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 95138 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 $70.37 – $206.04
Typical copayment $0.00 (range $17.59 – $51.51)
Most-billed visit code NA
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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 14

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

Dental Hygienist
5504 MONTEREY HWY
SAN JOSE, CA 95138
Psychologist (Clinical)
5504 MONTEREY HWY
SAN JOSE, CA 95138
Dental Hygienist
5504 MONTEREY HWY
SAN JOSE, CA 95138
Nurse Practitioner (Family)
5504 MONTEREY HWY
SAN JOSE, CA 95138
Podiatrist (Foot & Ankle Surgery)
5504 MONTEREY HWY
SAN JOSE, CA 95138
Family Medicine
5504 MONTEREY HWY
SAN JOSE, CA 95138
Clinic/Center (Federally Qualified Health Center (FQHC))
5504 MONTEREY HWY
SAN JOSE, CA 95138
Optometrist
5504 MONTEREY HWY
SAN JOSE, CA 95138

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 Brandi Jackson's NPI number?

The NPI number for Brandi Jackson is 1255793501. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Where is Brandi Jackson located?

Brandi Jackson practices at 5504 Monterey Hwy, San Jose, CA 95138. The listed phone number is (510) 674-5555.

What is Brandi Jackson's specialty?

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

Is Brandi Jackson enrolled in Medicare?

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

What insurance does Brandi Jackson accept?

Health plans from Providence Health Plan list Brandi Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brandi Jackson was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.