MS. MELODY JACKSON LCSW
NPI 1619216413
Social Worker - Clinical in South Holland, IL

Active since February 14, 2013PECOS Enrolled
1263 PRINCE DR, SOUTH HOLLAND, IL 60473(773) 507-2660 Get Directions Write a Review

NPPES record last updated: February 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Melody Jackson Lcsw NPPES

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

MS. MELODY JACKSON LCSW (NPI 1619216413) is an individual clinical provider in South Holland, Illinois, licensed in Illinois (149.015461) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619216413
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MELODY JACKSONCredential: LCSW
Location Address1263 PRINCE DRSouth Holland, IL 60473-1128
Mailing Address1263 Prince DrSouth Holland, IL 60473-1128 · (773) 507-2660
Sole ProprietorYes
Enumeration DateFebruary 14, 2013
NPI 1619216413 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 · 149.015461
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.
1263 PRINCE DR, South Holland, IL 60473

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Melody 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 60473 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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 Melody Jackson's NPI number?

The NPI number for Melody Jackson is 1619216413. It was assigned to this individual provider in the NPPES registry on February 14, 2013.

Where is Melody Jackson located?

Melody Jackson practices at 1263 Prince Dr, South Holland, IL 60473. The listed phone number is (773) 507-2660.

What is Melody Jackson's specialty?

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

Is Melody Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Melody Jackson was last updated on February 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.