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ROBERT JACKSON
NPI 1447817028
Social Worker - Clinical in Elgin, IL

Active since May 20, 2019PECOS Enrolled
164 E CHICAGO ST STE 200, ELGIN, IL 60120(847) 243-6458 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2026, Nov 3, 2023, Aug 19, 2021 and 1 more (4 updates tracked since 2019).

About Robert Jackson NPPES

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

ROBERT JACKSON (NPI 1447817028) is an individual clinical provider in Elgin, Illinois, licensed in (149.023004) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in South Elgin, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1447817028
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameROBERT JACKSON
Location Address164 E CHICAGO ST STE 200Elgin, IL 60120-5810
Mailing Address564 Douglas AveElgin, IL 60120-3672 · (847) 346-2236
Phone(847) 243-6458
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 20, 2019
Last NPPES UpdateApril 21, 20264 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1447817028 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 · 149.023004
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.
164 E CHICAGO ST STE 200, Elgin, IL 60120
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Secondary Practice Location 1

Location 1820 Randall RdSouth Elgin, IL 60177-3362 · Phone (847) 243-6458

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2769978113
PECOS Enrollment IDI20260106001388
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 60120 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 $59.81 – $181.38
Typical copayment $0.00 (range $14.95 – $45.34)
Most-billed visit code NA
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 2

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

BRIANNA MARIE PELUSO LSW
Social Worker
164 E CHICAGO ST STE 200
ELGIN, IL 60120
Cook County (815) 522-1719
ROAN SOLUTIONS LLC
Social Worker (Clinical)
164 E CHICAGO ST STE 200
ELGIN, IL 60120
Cook County (815) 522-1719

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 Robert Jackson's NPI number?

The NPI number for Robert Jackson is 1447817028. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is Robert Jackson located?

Robert Jackson practices at 164 E Chicago St Ste 200, Elgin, IL 60120. The listed phone number is (847) 243-6458.

What is Robert Jackson's specialty?

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

Is Robert Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Robert Jackson was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.