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

Q: What is Jan Jackson's NPI number?

The NPI number for Jan Jackson is 1649600313. It was assigned to this individual provider in the NPPES registry on November 18, 2013.

Q: What is Jan Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Jan Jackson was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 18, 2013PECOS EnrolledAccepts Medicare Assignment

300 UCLA MEDICAL PLZ STE 1100, LOS ANGELES, CA 90095(310) 825-9989(310) 267-1908 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2026, Jan 9, 2026 (2 updates tracked since 2026).

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About Jan Lindsey Jackson Lmsw NPPES

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

JAN LINDSEY JACKSON LMSW (NPI 1649600313) is an individual social worker in Los Angeles, California, licensed in California (LCSW122756) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1649600313

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameJAN LINDSEY JACKSONCredential: LMSW

Location Address300 UCLA MEDICAL PLZ STE 1100Los Angeles, CA 90095-8353

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(310) 825-9989

Fax(310) 267-1908

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateNovember 18, 2013

Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration

NPPES CertifiedMarch 5, 2026

✔ NPI 1649600313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Licenses✔ Licensed in CA · LCSW122756✔ Licensed in NY · 090307

Definition

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.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LCSW122756 (CA)

300 UCLA MEDICAL PLZ STE 1100, Los Angeles, CA 90095

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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

Jan Lindsey Jackson Lmsw 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 ID2668717182

PECOS Enrollment IDI20251212003312

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.

Other Providers at the Same Location NPPES 12

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

VERONICA R BARENSTEIN PHD

Psychologist (Clinical)