CHARMAINE JACKSON LCSW
NPI 1407181712
Social Worker - Clinical in Pasadena, CA

Q: What is Charmaine Jackson's NPI number?

The NPI number for Charmaine Jackson is 1407181712. It was assigned to this individual provider in the NPPES registry on October 5, 2009.

Q: What is Charmaine 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 Charmaine Jackson was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 October 05, 2009PECOS Enrolled

680 E COLORADO BLVD STE 180&2ND, PASADENA, CA 91101(626) 941-7645 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2024, Feb 22, 2019 (2 updates tracked since 2019).

On this page

About Charmaine Jackson Lcsw NPPES

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

CHARMAINE JACKSON LCSW (NPI 1407181712) is an individual clinical provider in Pasadena, California, licensed in California (LCSW78456) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1407181712

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCHARMAINE JACKSONCredential: LCSW

Location Address680 E COLORADO BLVD STE 180&2NDPasadena, CA 91101-6143

Mailing Address2640 Lake Ave Apt BAltadena, CA 91001-1943 · (909) 291-5766

Phone(626) 941-7645

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateOctober 5, 2009

Last NPPES UpdateDecember 13, 20242 updates tracked since enumeration

NPPES CertifiedDecember 13, 2024

✔ NPI 1407181712 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 CA · LCSW78456

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.

680 E COLORADO BLVD STE 180&2ND, Pasadena, CA 91101

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)

Charmaine Jackson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547773624

PECOS Enrollment IDI20260429003877

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 91101 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 $62.96 – $187.60

Typical copayment $0.00 (range $15.74 – $46.90)

Most-billed visit code NA

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 20

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

SAIMA HANIF

Nurse Practitioner (Psychiatric/Mental Health)