JAN LINDSEY JACKSON LMSW
NPI 1649600313
Social Worker in Los Angeles, CA

NPI Status: Active since November 18, 2013

Contact Information

300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA
ZIP 90095
Phone: (310) 825-9989
Fax: (310) 267-1908

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  • Individual
  • Female
  • Years of Experience 13
  • Social Worker
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About JAN JACKSON

This page provides the complete NPI Profile along with additional information for Jan Jackson, a provider established in Los Angeles, California with a medical specialization in Social Worker and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1649600313 assigned on November 2013. The practitioner's primary taxonomy code is 104100000X with license number LCSW122756 (CA). The provider is registered as an individual and her NPI record was last updated March 2026.

NPI
1649600313
Provider Name
JAN LINDSEY JACKSON LMSW
Gender
Female
Entity Type
Individual
Location Address
300 UCLA MEDICAL PLZ STE 1100 LOS ANGELES, CA 90095
Location Phone
(310) 825-9989
Location Fax
(310) 267-1908
Mailing Address
5767 W CENTURY BLVD STE 400 LOS ANGELES, CA 90045
Medical School Name
OTHER
Graduation Year
2013
Is Sole Proprietor?
Yes
Enumeration Date
11-18-2013
Last Update Date
03-05-2026
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A social worker like Jan Jackson helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
License No.
LCSW122756
License State
CA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1104100000XBehavioral Health & Social Service Providers

Social Worker

090307 (NY)
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

LCSW122756 (CA)

Medicare Participation & PECOS Enrollment Status

Jan Jackson is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Jan Jackson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2668717182

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20251212003312

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1649600313, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
4
Doubled → 8
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 6 → 12 → 3 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 8 + 9 + 1 + 2 + 0 + 0 + 3 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1649600313.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Social Worker (Clinical)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Psychologist
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Social Worker (Clinical)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Social Worker (Clinical)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Psychologist (Clinical)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Psychologist (Clinical)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Psychiatry & Neurology (Psychiatry)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Psychologist (Clinical)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Psychiatry & Neurology (Psychiatry)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Social Worker (Clinical)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Social Worker (Clinical)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Psychiatry & Neurology (Psychiatry)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649600313, enumerated as an "individual" on November 18, 2013.

The provider is located at 300 UCLA MEDICAL PLZ STE 1100 LOS ANGELES, CA 90095 and the phone number is (310) 825-9989.

Social Worker with taxonomy code 104100000X.