MS. CANDICE MICHELLE JACKSON MSW, LCSW
NPI 1336319078
Social Worker in Lexington, KY

Q: What is Candice Jackson's NPI number?

The NPI number for Candice Jackson is 1336319078. It was assigned to this individual provider in the NPPES registry on March 10, 2008.

Q: What is Candice Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Candice Jackson was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 10, 2008PECOS Enrolled

627 W 4TH ST, LEXINGTON, KY 40508(859) 253-1686(859) 254-2743 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ms. Candice Michelle Jackson Msw, Lcsw NPPES

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

MS. CANDICE MICHELLE JACKSON MSW, LCSW (NPI 1336319078) is an individual social worker in Lexington, Kentucky, licensed in Kentucky (5318) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336319078

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. CANDICE MICHELLE JACKSONCredential: MSW, LCSW

Location Address627 W 4TH STLexington, KY 40508-1207

Mailing Address1351 Newtown PikeLexington, KY 40511-1217 · (859) 253-1686 · Fax (859) 254-2743

Phone(859) 253-1686

Fax(859) 254-2743

Sole ProprietorNo

Enumeration DateMarch 10, 2008

Last NPPES UpdateFebruary 13, 2023

NPPES CertifiedFebruary 13, 2023

✔ NPI 1336319078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in KY · 5318

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.

627 W 4TH ST, Lexington, KY 40508

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Other Identifiers 1

Medicaid30615058KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Candice Michelle Jackson Msw, Lcsw 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.

Medicare Billing Reassignment

Medicare enrollment records show Candice Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA

883 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Kentucky enrollment
255 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

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

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.

MISS RACHEL J BATES

Counselor (Mental Health)