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MR. MARK HENRY JACKSON LCSW
NPI 1487976387
Social Worker - Clinical in Clovis, CA

Active since February 18, 2010PECOS Enrolled
3097 WILLOW AVE STE 9, CLOVIS, CA 93612(559) 258-0545(559) 820-0211 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2024, Jun 3, 2024, Aug 31, 2023 (3 updates tracked since 2023).

About Mr. Mark Henry Jackson Lcsw NPPES

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

MR. MARK HENRY JACKSON LCSW (NPI 1487976387) is an individual clinical provider in Clovis, California, licensed in California (60523) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487976387
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MARK HENRY JACKSONCredential: LCSW
Location Address3097 WILLOW AVE STE 9Clovis, CA 93612-4715
Mailing Address3097 Willow Ave Ste 9Clovis, CA 93612-4715 · (559) 258-0545 · Fax (559) 820-0211
Phone(559) 258-0545
Fax(559) 820-0211
Sole ProprietorYes
Enumeration DateFebruary 18, 2010
Last NPPES UpdateJune 28, 20243 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1487976387 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 · 60523
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.
3097 WILLOW AVE STE 9, Clovis, CA 93612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, 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)

Mr. Mark Henry 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 93612 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 $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 3

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

PROF. ELEANOR OCTAVIA URIBE L.C.S.W., P.P.S.C.
Social Worker (Clinical)
3097 WILLOW AVE STE 9
CLOVIS, CA 93612
Fresno County (559) 313-1837
LAURA ESPINDOLA LCSW
Counselor (Mental Health)
3097 WILLOW AVE STE 9
CLOVIS, CA 93612
Fresno County (559) 365-8511
MRS. ELIZABETH URBANO MSW; LCSW
Social Worker (Clinical)
3097 WILLOW AVE STE 9
CLOVIS, CA 93612
Fresno County (559) 313-4603

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 Mark Jackson's NPI number?

The NPI number for Mark Jackson is 1487976387. It was assigned to this individual provider in the NPPES registry on February 18, 2010.

Where is Mark Jackson located?

Mark Jackson practices at 3097 Willow Ave Ste 9, Clovis, CA 93612. The listed phone number is (559) 258-0545.

What is Mark Jackson's specialty?

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

Is Mark Jackson enrolled in Medicare?

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

What insurance does Mark Jackson accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Mark 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 Mark Jackson was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.