AQUANATTE JACKSON LCSW
NPI 1508145244
Social Worker - Clinical in Gary, IN

Active since August 11, 2011PECOS Enrolled

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 28, 2025, Feb 21, 2023, Apr 9, 2020 and 2 more (5 updates tracked since 2018).

About Aquanatte Jackson Lcsw NPPES

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

AQUANATTE JACKSON LCSW (NPI 1508145244) is an individual clinical provider in Gary, Indiana and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1508145244
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAQUANATTE JACKSONCredential: LCSW
Location Address5059 HAYES STGary, IN 46408-4355
Mailing Address5059 Hayes StGary, IN 46408-4355 · (256) 797-1363
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 11, 2011
Last NPPES UpdateMarch 28, 20255 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1508145244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
5059 HAYES ST, Gary, IN 46408

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7113261678
PECOS Enrollment IDI20251001001492
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Aquanatte Jackson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
801 E DOUGLAS AVE FL 2
Wichita, KS 67202
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Sondermind PA
  • 70 clinicians in this Medicare group
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Alabama, Georgia, Indiana, Nevada and Texas enrollments
  • 29 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia, Illinois, Indiana, North Carolina, Oregon and Texas enrollments
  • 994 clinicians in this Medicare group
Community/Behavioral Health
2200 PASEO VERDE PKWY STE 190
Henderson, NV 89052
  • Reassigned Medicare billing, Nevada enrollment
  • 157 clinicians in this Medicare group
Clinical
6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
  • Reassigned Medicare billing, Illinois and North Carolina enrollments
  • 106 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46408 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 $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Social Worker
5059 HAYES ST
GARY, IN 46408
Social Worker (Clinical)
5059 HAYES ST
GARY, IN 46408

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 Aquanatte Jackson's NPI number?

The NPI number for Aquanatte Jackson is 1508145244. It was assigned to this individual provider in the NPPES registry on August 11, 2011.

Where is Aquanatte Jackson located?

Aquanatte Jackson practices at 5059 Hayes St, Gary, IN 46408. The listed phone number is (256) 797-1363.

What is Aquanatte Jackson's specialty?

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

Is Aquanatte Jackson enrolled in Medicare?

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

Which organizations bill Medicare for Aquanatte Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aquanatte Jackson reassigns Medicare benefits to 5 organizations: Sondermind, P.A. (Wichita, KS), Sondermind Provider Network LLC (Denver, CO), Grow Healthcare Group PA (Miami, FL), Behavioral Health Solutions LLC (Henderson, NV) and Sondermind PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Aquanatte Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Aquanatte Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Moda Health Plan, Inc. and 2 other insurers list Aquanatte 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 Aquanatte Jackson was last updated on March 28, 2025. 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.