Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TARICA RASHAUN JACKSON LCSW
NPI 1598405722
Social Worker - Clinical in Loves Park, IL

Q: What is Tarica Jackson's NPI number?

The NPI number for Tarica Jackson is 1598405722. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Q: What is Tarica Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tarica Jackson was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.

Active since March 29, 2022PECOS Enrolled

228 EVELYN AVE APT 3, LOVES PARK, IL 61111(779) 220-0223(888) 668-1804 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

On this page

About Tarica Rashaun Jackson Lcsw NPPES

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

TARICA RASHAUN JACKSON LCSW (NPI 1598405722) is an individual clinical provider in Loves Park, Illinois, licensed in Illinois (149.024421) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598405722

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTARICA RASHAUN JACKSONCredential: LCSW

Location Address228 EVELYN AVE APT 3Loves Park, IL 61111-5097

Mailing Address228 Evelyn Ave Apt 3Loves Park, IL 61111-5097 · (779) 220-0223 · Fax (888) 668-1804

Phone(779) 220-0223

Fax(888) 668-1804

Sole ProprietorYes

Enumeration DateMarch 29, 2022

Last NPPES UpdateSeptember 1, 2026

NPPES CertifiedSeptember 1, 2026

✔ NPI 1598405722 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 IL · 149.024421

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.

228 EVELYN AVE APT 3, Loves Park, IL 61111

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tarica Rashaun 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 61111 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 $54.80 – $168.44

Typical copayment $0.00 (range $13.70 – $42.11)

Most-billed visit code NA

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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

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

FAITH MOVES MOUNTAINS COUNSELING AND THERAPY LLC

Social Worker (Clinical)

228 EVELYN AVE APT 3
LOVES PARK, IL 61111

Winnebago County (779) 220-0223

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 Tarica Jackson's NPI number?

The NPI number for Tarica Jackson is 1598405722. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Tarica Jackson located?

Tarica Jackson practices at 228 Evelyn Ave Apt 3, Loves Park, IL 61111. The listed phone number is (779) 220-0223.

What is Tarica Jackson's specialty?

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

Is Tarica Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tarica Jackson was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.