JACKIE NELL BRYANT LMSW
NPI 1396520094
Social Worker in Dallas, TX

Q: What is Jackie Bryant's NPI number?

The NPI number for Jackie Bryant is 1396520094. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Q: What is Jackie Bryant'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 Jackie Bryant was last updated on October 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 30, 2023PECOS Enrolled

4925 GREENVILLE AVE STE 1050, DALLAS, TX 75206(214) 918-1999 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2025, Aug 30, 2023 (2 updates tracked since 2023).

On this page

About Jackie Nell Bryant Lmsw NPPES

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

JACKIE NELL BRYANT LMSW (NPI 1396520094) is an individual social worker in Dallas, Texas, licensed in Texas (67646) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1396520094

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameJACKIE NELL BRYANTCredential: LMSW

Location Address4925 GREENVILLE AVE STE 1050Dallas, TX 75206-4084

Mailing Address4925 Greenville Ave Ste 1050Dallas, TX 75206-4084 · (214) 918-1999

Phone(214) 918-1999

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 30, 2023

Last NPPES UpdateOctober 20, 20252 updates tracked since enumeration

NPPES CertifiedOctober 20, 2025

✔ NPI 1396520094 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 TX · 67646

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.

4925 GREENVILLE AVE STE 1050, Dallas, TX 75206

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackie Nell Bryant Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375058308

PECOS Enrollment IDI20250717000667

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.

Leave this field empty