MRS. BERNADETTE JACKSON LMSW
NPI 1316227564
Social Worker in Tupelo, MS

Q: What is Bernadette Jackson's NPI number?

The NPI number for Bernadette Jackson is 1316227564. It was assigned to this individual provider in the NPPES registry on August 19, 2011. The provider is also known as Bernadette Christian Lmsw.

Q: What is Bernadette Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since August 19, 2011PECOS Enrolled

2434 S EASON BLVD, TUPELO, MS 38804(662) 844-1717(662) 680-6416 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Bernadette Jackson Lmsw NPPES

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

MRS. BERNADETTE JACKSON LMSW (NPI 1316227564) is an individual social worker in Tupelo, Mississippi, licensed in Mississippi (M8886) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1316227564

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMRS. BERNADETTE JACKSONCredential: LMSW

Location Address2434 S EASON BLVDTupelo, MS 38804-6942

Mailing Address2434 S Eason BlvdTupelo, MS 38804-6942 · (662) 844-1717 · Fax (662) 680-6416

Phone(662) 844-1717

Fax(662) 680-6416

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateAugust 19, 2011

Last NPPES UpdateAugust 26, 2024

NPPES CertifiedAugust 26, 2024

✔ NPI 1316227564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MS · M8886

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

2434 S EASON BLVD, Tupelo, MS 38804

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Other Names 1

Former Name (1)Bernadette Christian Lmsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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. Bernadette Jackson Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315429925

PECOS Enrollment IDI20260303004080

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.

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.

TIFFANY BROWN

Counselor (Mental Health)