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JACKSON GRIFFIN ASW
NPI 1508587072
Social Worker - Clinical in Chico, CA

Active since September 02, 2022PECOS Enrolled
669 PALMETTO AVE STE A, CHICO, CA 95926(530) 566-3480 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jackson Griffin Asw NPPES

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

JACKSON GRIFFIN ASW (NPI 1508587072) is an individual clinical provider in Chico, California, licensed in California (109349) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1508587072
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACKSON GRIFFINCredential: ASW
Location Address669 PALMETTO AVE STE AChico, CA 95926-4065
Mailing Address669 Palmetto Ave Ste AChico, CA 95926-4065 · (530) 364-5663
Phone(530) 566-3480
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 2, 2022
NPPES CertifiedSeptember 2, 2022
✔ NPI 1508587072 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 · 109349
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.
669 PALMETTO AVE STE A, Chico, CA 95926
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6507345451
PECOS Enrollment IDI20260210003251
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 Reassignment

Medicare enrollment records show Jackson Griffin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
166 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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 95926 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.

MS. KATHLEEN RENEE DAHLSTROM
Marriage & Family Therapist
669 PALMETTO AVE STE A
CHICO, CA 95926
Butte County (530) 361-5303
TIFFANY ANNE SANDERS MS
Marriage & Family Therapist
669 PALMETTO AVE STE A
CHICO, CA 95926
Butte County (530) 361-5303
CHICO AFFIRMATIVE THERAPY A LICENSED MARRIAGE AND FAMILY THERA
Marriage & Family Therapist
669 PALMETTO AVE STE A
CHICO, CA 95926
Butte County (530) 361-5303

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 Jackson Griffin's NPI number?

The NPI number for Jackson Griffin is 1508587072. It was assigned to this individual provider in the NPPES registry on September 2, 2022.

Where is Jackson Griffin located?

Jackson Griffin practices at 669 Palmetto Ave Ste A, Chico, CA 95926. The listed phone number is (530) 566-3480.

What is Jackson Griffin's specialty?

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

Is Jackson Griffin enrolled in Medicare?

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

Which organization bills Medicare for Jackson Griffin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackson Griffin reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The 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 Jackson Griffin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jackson Griffin was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.