Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHRISTIAN JACKSON LMSW
NPI 1366142168
Social Worker in Mexico, MO

Q: What is Christian Jackson's NPI number?

The NPI number for Christian Jackson is 1366142168. It was assigned to this individual provider in the NPPES registry on March 9, 2023.

Q: What is Christian 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 Christian Jackson was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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 09, 2023PECOS Enrolled

340 KELLEY PKWY, MEXICO, MO 65265(573) 582-1234(573) 582-1212 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Christian Jackson Lmsw NPPES

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

CHRISTIAN JACKSON LMSW (NPI 1366142168) is an individual social worker in Mexico, Missouri, licensed in Missouri (2024027413) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366142168

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameCHRISTIAN JACKSONCredential: LMSW

Location Address340 KELLEY PKWYMexico, MO 65265-3811

Mailing Address340 Kelley PkwyMexico, MO 65265-3811 · (573) 582-1234 · Fax (573) 582-1212

Phone(573) 582-1234

Fax(573) 582-1212

Sole ProprietorNo

Enumeration DateMarch 9, 2023

Last NPPES UpdateJune 30, 2026

NPPES CertifiedJune 30, 2026

✔ NPI 1366142168 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 MO · 2024027413

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.

340 KELLEY PKWY, Mexico, MO 65265

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christian Jackson Lmsw 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.

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.

KRISTEN ANN FISHBACK LCSW

Social Worker (Clinical)