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PAYTON JACKSON III LMSW
NPI 1609316777
Social Worker in West Bloomfield, MI

Active since March 08, 2017PECOS Enrolled
7042 VALLEYBROOK RD, WEST BLOOMFIELD, MI 48322(313) 282-5937 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Payton Jackson Iii Lmsw NPPES

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

PAYTON JACKSON III LMSW (NPI 1609316777) is an individual social worker in West Bloomfield, Michigan, licensed in Michigan (6801109420) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609316777
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NamePAYTON JACKSON IIICredential: LMSW
Location Address7042 VALLEYBROOK RDWest Bloomfield, MI 48322-4150
Mailing Address7042 Valleybrook RdWest Bloomfield, MI 48322-4150 · (313) 282-5937
Phone(313) 282-5937
Sole ProprietorYes
Enumeration DateMarch 8, 2017
Last NPPES UpdateMay 29, 2026
NPPES CertifiedMay 29, 2026
✔ NPI 1609316777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MI · 6801109420
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
7042 VALLEYBROOK RD, West Bloomfield, MI 48322
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Payton Jackson Iii Lmsw 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.

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 Payton Jackson's NPI number?

The NPI number for Payton Jackson is 1609316777. It was assigned to this individual provider in the NPPES registry on March 8, 2017.

Where is Payton Jackson located?

Payton Jackson practices at 7042 Valleybrook Rd, West Bloomfield, MI 48322. The listed phone number is (313) 282-5937.

What is Payton Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Payton Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Payton Jackson was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.