JACQUELINE MAYES JACKSON LCSW
NPI 1639218480
Social Worker - Clinical in Albany, GA

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
2904 HARVEST LN, ALBANY, GA 31721(229) 449-0805(229) 449-0805 Get Directions Write a Review

NPPES record last updated: October 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Mayes Jackson Lcsw NPPES

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

JACQUELINE MAYES JACKSON LCSW (NPI 1639218480) is an individual clinical provider in Albany, Georgia, licensed in Georgia (CSW002881) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1639218480
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELINE MAYES JACKSONCredential: LCSW
Location Address2904 HARVEST LNAlbany, GA 31721-4555
Mailing Address994 Lamar RdMacon, GA 31210-7109 · (229) 449-0805 · Fax (229) 449-0805
Fax(229) 449-0805
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateFebruary 6, 2007
Last NPPES UpdateOctober 4, 2013
NPI 1639218480 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 GA · CSW002881
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.
2904 HARVEST LN, Albany, GA 31721

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Mayes Jackson Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274560362
PECOS Enrollment IDI20050720000587
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 31721 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 $53.31 – $164.04
Typical copayment $0.00 (range $13.32 – $41.01)
Most-billed visit code NA
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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 Jacqueline Jackson's NPI number?

The NPI number for Jacqueline Jackson is 1639218480. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Jacqueline Jackson located?

Jacqueline Jackson practices at 2904 Harvest Ln, Albany, GA 31721. The listed phone number is (229) 449-0805.

What is Jacqueline Jackson's specialty?

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

Is Jacqueline Jackson enrolled in Medicare?

Yes. Jacqueline Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacqueline Jackson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Jacqueline 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 Jacqueline Jackson was last updated on October 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.