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ELISHA D JACKSON LCSW
NPI 1487721817
Social Worker - Clinical in Long Beach, CA

Active since November 29, 2006PECOS Enrolled
240 EAST 20TH STREET, LONG BEACH, CA 90806(562) 218-4098(562) 218-4076 Get Directions Write a Review

NPPES record last updated: March 29, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elisha D Jackson Lcsw NPPES

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

ELISHA D JACKSON LCSW (NPI 1487721817) is an individual clinical provider in Long Beach, California, licensed in California (LCS 26325) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487721817
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELISHA D JACKSONCredential: LCSW
Location Address240 EAST 20TH STREETLong Beach, CA 90806
Mailing AddressPo Box 44417Los Angeles, CA 90044-0417 · (562) 218-4098 · Fax (562) 218-4076
Phone(562) 218-4098
Fax(562) 218-4076
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateMarch 29, 2011
✔ NPI 1487721817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCS 26325
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 16946 (CA)
240 EAST 20TH STREET, Long Beach, CA 90806
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elisha D Jackson Lcsw 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 90806 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 2

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

MS. CHRISTINE LYNNE SLAGLE LCSW
Social Worker (Clinical)
240 EAST 20TH STREET
LONG BEACH, CA 90806
Los Angeles County (562) 599-9271
MS. BERTHA ROBLES
Student in an Organized Health Care Education/Training Program
240 EAST 20TH STREET
LONG BEACH, CA 90806
Los Angeles County (562) 599-9272

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 Elisha Jackson's NPI number?

The NPI number for Elisha Jackson is 1487721817. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Elisha Jackson located?

Elisha Jackson practices at 240 East 20th Street, Long Beach, CA 90806. The listed phone number is (562) 218-4098.

What is Elisha Jackson's specialty?

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

Is Elisha Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Elisha Jackson was last updated on March 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.