MS. ELIZABETH A JACKSON LCSW
NPI 1649694233
Social Worker - Clinical in Boise, ID

Active since February 18, 2014PECOS EnrolledAccepts Medicare Assignment
1111 S ORCHARD ST STE 100, BOISE, ID 83705(208) 794-9588 Get Directions Write a Review

NPPES record last updated: March 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 7, 2024, Dec 9, 2015 (2 updates tracked since 2015).

About Ms. Elizabeth A Jackson Lcsw NPPES

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

MS. ELIZABETH A JACKSON LCSW (NPI 1649694233) is an individual clinical provider in Boise, Idaho, licensed in Idaho (LCSW-33837) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1649694233
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. ELIZABETH A JACKSONCredential: LCSW
Location Address1111 S ORCHARD ST STE 100Boise, ID 83705-1961
Mailing Address1111 S Orchard St Ste 100Boise, ID 83705-1961 · (208) 794-9588
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 18, 2014
Last NPPES UpdateMarch 3, 20242 updates tracked since enumeration
NPPES CertifiedMarch 3, 2024
NPI 1649694233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in ID · LCSW-33837
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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PCSW-535 (WY), LMSW-31478 (ID)
1111 S ORCHARD ST STE 100, Boise, ID 83705

Other Identifiers 2

Medicaid1649694233ID
Other3387ID · License

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

Ms. Elizabeth A 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 ID7416258587
PECOS Enrollment IDI20151214002209
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 83705 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 $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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

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

Social Worker (Clinical)
1111 S ORCHARD ST STE 100
BOISE, ID 83705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649694233, enumerated as an "individual" on February 18, 2014.

The provider is located at 1111 S ORCHARD ST STE 100 BOISE, ID 83705 and the phone number is (208) 794-9588.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.