1. Home
  2. Directory
  3. Tennessee
  4. Murfreesboro
  5. Social Worker
  6. NPI Profile

LACEY JACKSON PLLC
NPI 1285302851
Social Worker - Clinical in Murfreesboro, TN

Active since August 31, 2021
320 W MAIN ST STE 208, MURFREESBORO, TN 37130(931) 273-8888 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lacey Jackson Pllc NPPES

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

LACEY JACKSON PLLC (NPI 1285302851) is a healthcare organization registered as a clinical in Murfreesboro, Tennessee and active in the NPI registry since August 2021. The organization lists Lacey Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1285302851
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLACEY JACKSON PLLC
Location Address320 W MAIN ST STE 208Murfreesboro, TN 37130-3527
Mailing Address320 W Main St Ste 208Murfreesboro, TN 37130-3527 · (931) 273-8888
Phone(931) 273-8888
Organization SubpartNo
Authorized OfficialLacey JacksonOwner · (931) 273-8888
Enumeration DateAugust 31, 2021
NPPES CertifiedAugust 31, 2021
✔ NPI 1285302851 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.
320 W MAIN ST STE 208, Murfreesboro, TN 37130
Open in Google Maps ↗

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacey Jackson Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lacey Jackson PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lacey Jackson, LCSW
Clinical Social Worker
NPI 1710183686
2723 NEW SALEM HWY
Murfreesboro, TN 37128
(615) 396-6850
✔ PECOS✔ Accepts Medicare4.7 mi

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

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 Lacey Jackson PLLC's NPI number?

The NPI number for Lacey Jackson PLLC is 1285302851. It was assigned to this organization in the NPPES registry on August 31, 2021.

Where is Lacey Jackson PLLC located?

Lacey Jackson PLLC is located at 320 W Main St Ste 208, Murfreesboro, TN 37130. The listed phone number is (931) 273-8888.

What is Lacey Jackson PLLC's specialty?

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

Is Lacey Jackson PLLC enrolled in Medicare?

Yes. Lacey Jackson PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lacey Jackson PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Lacey Jackson PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lacey Jackson PLLC was last updated on August 31, 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.