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CARISSA MAY JACKSON LCSW
NPI 1669163051
Social Worker - Clinical in Pawtucket, RI

Active since May 16, 2023PECOS Enrolled
200 MAIN ST STE 210, PAWTUCKET, RI 02860(401) 728-1800 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carissa May Jackson Lcsw NPPES

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

CARISSA MAY JACKSON LCSW (NPI 1669163051) is an individual clinical provider in Pawtucket, Rhode Island, licensed in Rhode Island (CSW02518) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669163051
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARISSA MAY JACKSONCredential: LCSW
Location Address200 MAIN ST STE 210Pawtucket, RI 02860-4119
Mailing Address215 Plainfield PikeFoster, RI 02825-1253 · (401) 529-7272
Phone(401) 728-1800
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 16, 2023
NPPES CertifiedMay 16, 2023
✔ NPI 1669163051 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 RI · CSW02518
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.
200 MAIN ST STE 210, Pawtucket, RI 02860
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carissa May Jackson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618466616
PECOS Enrollment IDI20251030000354
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.

Medicare Billing Reassignment

Medicare enrollment records show Carissa Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

United Cerebral Palsy Of Rhode Island, Inc.
4.2 mi
Community/Behavioral Health
1 RICHMOND SQ STE 103K
Providence, RI 02906
  • Reassigned Medicare billing, Rhode Island enrollment
  • 14 clinicians in this Medicare group
NPI 1124585427 (508) 812-0613

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02860 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 $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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 13

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

NATHALI ROSA LCSW
Social Worker (Clinical)
200 MAIN ST STE 210
PAWTUCKET, RI 02860
Providence County (401) 728-1800
JESSICA R KUBIAK LCSW
Social Worker (Clinical)
200 MAIN ST STE 210
PAWTUCKET, RI 02860
Providence County (401) 728-1800
JESSIE JANELLE VARGAS
Social Worker (Clinical)
200 MAIN ST STE 210
PAWTUCKET, RI 02860
Providence County (401) 728-1800
MOIRA BUCKLEY
Social Worker (Clinical)
200 MAIN ST STE 210
PAWTUCKET, RI 02860
Providence County (401) 213-9262
ANA AYBAR LCSW
Social Worker (Clinical)
200 MAIN ST STE 210
PAWTUCKET, RI 02860
Providence County (401) 728-1800
CHARLOTTE KADIATU PELHAM-NYAN MSW, LCSW
Social Worker (Clinical)
200 MAIN ST STE 210
PAWTUCKET, RI 02860
Providence County (401) 728-1800
JAMY ARREOLA LICSW
Social Worker (Clinical)
200 MAIN ST STE 210
PAWTUCKET, RI 02860
Providence County (401) 728-1800
MS. CASSANDRA NYAMUNDA LICSW
Social Worker (Clinical)
200 MAIN ST STE 210
PAWTUCKET, RI 02860
Providence County (401) 728-1800

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 Carissa Jackson's NPI number?

The NPI number for Carissa Jackson is 1669163051. It was assigned to this individual provider in the NPPES registry on May 16, 2023.

Where is Carissa Jackson located?

Carissa Jackson practices at 200 Main St Ste 210, Pawtucket, RI 02860. The listed phone number is (401) 728-1800.

What is Carissa Jackson's specialty?

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

Is Carissa Jackson enrolled in Medicare?

Yes. Carissa Jackson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carissa Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carissa Jackson reassigns Medicare benefits to United Cerebral Palsy Of Rhode Island, Inc. (Providence, RI). The 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 Carissa Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carissa Jackson accept?

Health plans from Harvard Pilgrim Health Care list Carissa 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 Carissa Jackson was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.