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MRS. ELLEN MARIE JACKSON LCSW
NPI 1568519718
Social Worker - Clinical in Falmouth, ME

Active since January 03, 2007PECOS Enrolled
98.06/100
CMS Quality Rating
3 FUNDY RD, FALMOUTH, ME 04105(207) 780-9966 Get Directions Write a Review

NPPES record last updated: June 14, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Ellen Marie Jackson Lcsw NPPES

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

MRS. ELLEN MARIE JACKSON LCSW (NPI 1568519718) is an individual clinical provider in Falmouth, Maine, licensed in Maine (LC1392) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568519718
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. ELLEN MARIE JACKSONCredential: LCSW
Location Address3 FUNDY RDFalmouth, ME 04105-1796
Mailing Address3 Fundy RdFalmouth, ME 04105-1796 · (207) 780-9966
Phone(207) 780-9966
Sole ProprietorYes
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJune 14, 2010
✔ NPI 1568519718 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 ME · LC1392
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.
3 FUNDY RD, Falmouth, ME 04105
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Other Identifiers 1

Medicare PINMM898602ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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)

Mrs. Ellen Marie 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 04105 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 $56.28 – $169.96
Typical copayment $0.00 (range $14.07 – $42.49)
Most-billed visit code NA
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

FORESIDE DENTAL HEALTH CARE, PA
Dentist (General Practice)
3 FUNDY RD
FALMOUTH, ME 04105
Cumberland County (207) 781-2054
DR. LEONARD GEORGE SAULTER D.C.
Chiropractor (Occupational Health)
3 FUNDY RD
FALMOUTH, ME 04105
Cumberland County (207) 781-2003
AMY SUE HAMILTON LCSW
Social Worker (Clinical)
3 FUNDY RD, SUITE 2
FALMOUTH, ME 04105
Cumberland County (207) 232-1760
EMILEE T. CONRAD LCSW
Social Worker (Clinical)
3 FUNDY RD
FALMOUTH, ME 04105
Cumberland County (207) 200-1477
DR. MANIJEH D. BEST D.D.S.
Dentist (General Practice)
3 FUNDY RD
FALMOUTH, ME 04105
Cumberland County (207) 781-2054
ELIZABETH N. THAYER LCWS
Social Worker (Clinical)
3 FUNDY RD
FALMOUTH, ME 04105
Cumberland County (207) 956-1775
CHIROPATRICK LLC
Chiropractor
3 FUNDY RD
FALMOUTH, ME 04105
Cumberland County (207) 781-2003
DR. ALAN J AVTGES DMD
Dentist (General Practice)
3 FUNDY RD
FALMOUTH, ME 04105
Cumberland County (207) 781-2054

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 Ellen Jackson's NPI number?

The NPI number for Ellen Jackson is 1568519718. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Ellen Jackson located?

Ellen Jackson practices at 3 Fundy Rd, Falmouth, ME 04105. The listed phone number is (207) 780-9966.

What is Ellen Jackson's specialty?

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

Is Ellen Jackson enrolled in Medicare?

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

What insurance does Ellen Jackson accept?

Health plans from Harvard Pilgrim Health Care list Ellen 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 Ellen Jackson was last updated on June 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.