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

MADISON DORE JACKSON LCSW-C
NPI 1629851969
Social Worker - Clinical in Rosedale, MD

Active since August 18, 2023PECOS Enrolled
9627 PHILADELPHIA RD STE 160, ROSEDALE, MD 21237(410) 780-5203(410) 780-5205 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2026, Mar 26, 2026, Aug 18, 2023 (3 updates tracked since 2023).

About Madison Dore Jackson Lcsw-c NPPES

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

MADISON DORE JACKSON LCSW-C (NPI 1629851969) is an individual clinical provider in Rosedale, Maryland, licensed in Maryland (30576) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1629851969
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMADISON DORE JACKSONCredential: LCSW-C
Location Address9627 PHILADELPHIA RD STE 160Rosedale, MD 21237-4157
Mailing Address9627 Philadelphia Rd Ste 160Rosedale, MD 21237-4157 · (410) 780-5203 · Fax (410) 780-5205
Phone(410) 780-5203
Fax(410) 780-5205
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 18, 2023
Last NPPES UpdateSeptember 2, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1629851969 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 MD · 30576
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.
9627 PHILADELPHIA RD STE 160, Rosedale, MD 21237
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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)

Madison Dore Jackson Lcsw-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395217004
PECOS Enrollment IDI20260614000066
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 Madison Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Balance Point Wellness, LLC
8.3 mi
Clinical
5820 YORK RD, SUITE 201
Baltimore, MD 21212
  • Reassigned Medicare billing, Maryland enrollment
  • 70 clinicians in this Medicare group
NPI 1619390952 (410) 800-2169

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 21237 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 $60.73 – $183.44
Typical copayment $0.00 (range $15.18 – $45.86)
Most-billed visit code NA
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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 20

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

LONNETTE MCPHERSON
Counselor (Mental Health)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (443) 469-5138
ADRIAN LEE STACKHOUSE
Social Worker (Clinical)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
AMBER DUKES LGPC
Counselor (Mental Health)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
AYREL J FUNDERBURK
Social Worker
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
ABBIGALE ELIZABETH BOEHL
Counselor (Mental Health)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
CAROLINE ELIZABETH MOLLENAUER
Social Worker
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
GRACE OMENYI LGPC
Counselor (Mental Health)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
IESHA FELTON WATERS LCPC
Counselor (Professional)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203

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 Madison Jackson's NPI number?

The NPI number for Madison Jackson is 1629851969. It was assigned to this individual provider in the NPPES registry on August 18, 2023.

Where is Madison Jackson located?

Madison Jackson practices at 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237. The listed phone number is (410) 780-5203.

What is Madison Jackson's specialty?

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

Is Madison Jackson enrolled in Medicare?

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

Which organization bills Medicare for Madison Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Jackson reassigns Medicare benefits to Balance Point Wellness, LLC (Baltimore, MD). 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 Madison Jackson'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 Madison Jackson was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 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.