MS. JANICE JACKSON LGSW
NPI 1639349582
Social Worker in Hyattsville, MD
About Ms. Janice Jackson Lgsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JANICE JACKSON LGSW (NPI 1639349582) is an individual social worker in Hyattsville, Maryland, licensed in Maryland (G12541) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Janice Jackson Lgsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Janice Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Durham, NC 27701
- Reassigned Medicare billing, District of Columbia enrollment
- 18 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, District of Columbia enrollment
- 1,424 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
HYATTSVILLE, MD 20783
HYATTSVILLE, MD 20783
HYATTSVILLE, MD 20783
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 Janice Jackson's NPI number?
The NPI number for Janice Jackson is 1639349582. It was assigned to this individual provider in the NPPES registry on March 6, 2008.
Where is Janice Jackson located?
Janice Jackson practices at 6475 New Hampshire Ave, Hyattsville, MD 20783. The listed phone number is (301) 270-3200.
What is Janice Jackson's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Janice Jackson enrolled in Medicare?
Yes. Janice Jackson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Janice Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Janice Jackson reassigns Medicare benefits to 2 organizations: Mental Health Specialty Group PA (Durham, NC) and Grow Healthcare Group PA (Miami, FL). Each 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 Janice 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 Janice Jackson was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Ms. Janice Jackson, LGSW · NPI 1639349582
Social Worker provider in Hyattsville, Maryland. Individual provider, active in the CMS NPPES registry since March 6, 2008.
## Identity
- **NPI:** 1639349582 (Entity type: Individual)
- **Enumerated:** March 6, 2008
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** G12541 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6475 NEW HAMPSHIRE AVE, Hyattsville, MD 20783-3269
- **Phone:** (301) 270-3200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mental Health Specialty Group PA (NPI 1801472634, Durham, NC); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639349582) · Data from the CMS NPPES public registry.