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

DIANE TANEQUA MARIE JACKSON LSW
NPI 1396522579
Social Worker - Clinical in Columbus, OH

Active since September 12, 2023PECOS Enrolled
6100 CHANNINGWAY BLVD STE 206, COLUMBUS, OH 43232(614) 706-5099(614) 725-0402 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 22, 2026, Aug 26, 2026 (2 updates tracked since 2026).

About Diane Tanequa Marie Jackson Lsw NPPES

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

DIANE TANEQUA MARIE JACKSON LSW (NPI 1396522579) is an individual clinical provider in Columbus, Ohio, licensed in Ohio (I.2608054) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396522579
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDIANE TANEQUA MARIE JACKSONCredential: LSW
Location Address6100 CHANNINGWAY BLVD STE 206Columbus, OH 43232-2910
Mailing Address3036 Clover Rd NwConcord, NC 28027-3810 · (614) 285-1355
Phone(614) 706-5099
Fax(614) 725-0402
Sole ProprietorNo
Enumeration DateSeptember 12, 2023
Last NPPES UpdateSeptember 22, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1396522579 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 OH · I.2608054
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.
6100 CHANNINGWAY BLVD STE 206, Columbus, OH 43232
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Accepted Insurance

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

Diane Tanequa Marie Jackson Lsw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43232 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 $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Jackson's NPI number?

The NPI number for Diane Jackson is 1396522579. It was assigned to this individual provider in the NPPES registry on September 12, 2023.

Where is Diane Jackson located?

Diane Jackson practices at 6100 Channingway Blvd Ste 206, Columbus, OH 43232. The listed phone number is (614) 706-5099.

What is Diane Jackson's specialty?

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

Is Diane Jackson enrolled in Medicare?

Yes. Diane Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Diane Jackson accept?

Health plans from Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Diane Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diane Jackson was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 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.