MARIAN A JACKSON LCSW
NPI 1427394485
Social Worker - Clinical in Fairview Heights, IL

Q: What is Marian Jackson's NPI number?

The NPI number for Marian Jackson is 1427394485. It was assigned to this individual provider in the NPPES registry on December 19, 2012.

Q: What is Marian 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 Marian Jackson was last updated on December 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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 December 19, 2012PECOS EnrolledAccepts Medicare Assignment

125 N RUBY LN, FAIRVIEW HEIGHTS, IL 62208(618) 398-4226(618) 398-1759 Get Directions Write a Review

NPPES record last updated: December 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Marian A Jackson Lcsw NPPES

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

MARIAN A JACKSON LCSW (NPI 1427394485) is an individual clinical provider in Fairview Heights, Illinois, licensed in Illinois (149.015627) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1427394485

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARIAN A JACKSONCredential: LCSW

Location Address125 N RUBY LNFairview Heights, IL 62208-1926

Mailing Address125 N Ruby LnFairview Heights, IL 62208-1926 · (618) 398-4226 · Fax (618) 398-1759

Phone(618) 398-4226

Fax(618) 398-1759

Sole ProprietorNo

Medical School CMSOtherGraduated 1976

Enumeration DateDecember 19, 2012

✔ NPI 1427394485 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 IL · 149.015627

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.

125 N RUBY LN, Fairview Heights, IL 62208

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marian A Jackson Lcsw 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 ID8325288848

PECOS Enrollment IDI20130705000388

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 62208 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 $56.28 – $173.35

Typical copayment $0.00 (range $14.07 – $43.33)

Most-billed visit code NA

Established Patient

$70.42 typical visit price

range $17.51 – $139.99

Typical copayment $17.60 (range $4.37 – $34.99)

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 10

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

BYRON LOY LCPC, PLPC, CRADC

Counselor (Mental Health)