AMY JACKSON MSW
NPI 1386986073
Social Worker - Clinical in Cary, NC

Q: What is Amy Jackson's NPI number?

The NPI number for Amy Jackson is 1386986073. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Q: What is Amy Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amy Jackson was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 20, 2013PECOS EnrolledAccepts Medicare Assignment

115 KILDAIRE PARK DR STE 402, CARY, NC 27518(855) 501-1004 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2026, Aug 17, 2018 (2 updates tracked since 2018).

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About Amy Jackson Msw NPPES

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

AMY JACKSON MSW (NPI 1386986073) is an individual clinical provider in Cary, North Carolina, licensed in North Carolina (C008972) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1386986073

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameAMY JACKSONCredential: MSW

Location Address115 KILDAIRE PARK DR STE 402Cary, NC 27518-8144

Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954

Phone(855) 501-1004

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 20, 2013

Last NPPES UpdateMay 19, 20262 updates tracked since enumeration

NPPES CertifiedMay 19, 2026

✔ NPI 1386986073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NC · C008972

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.

115 KILDAIRE PARK DR STE 402, Cary, NC 27518

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Secondary Practice Locations 2

Location 1204 Muirs Chapel Rd, Suite 305Greensboro, NC 27410-6173 · Phone (336) 602-9443 · Fax (336) 542-2885

Location 2120 Capcom Ave Ste 101Wake Forest, NC 27587-6537 · Phone (919) 792-3967 · Fax (919) 761-5026

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy Jackson Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698090587

PECOS Enrollment IDI20150218000233

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 Reassignments

Medicare enrollment records show Amy Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thriveworks Clinical - North Carolina PC

13 mi

Mental Health

8406 SIX FORKS RD STE 104
Raleigh, NC 27615

Reassigned Medicare billing, North Carolina enrollment
188 clinicians in this Medicare group

NPI 1003303082 (919) 424-6045

Mindpath Care Centers, North Carolina, PLLC

13 mi

Psychiatry

4220 APEX HWY STE 200
Durham, NC 27713

Reassigned Medicare billing, North Carolina enrollment
116 clinicians in this Medicare group

NPI 1508803214 (919) 354-0850

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27518 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 $54.12 – $165.09

Typical copayment $0.00 (range $13.53 – $41.27)

Most-billed visit code NA

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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 17

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

DR. GILMAR COSTA MD

Psychiatry & Neurology (Psychiatry)