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ANTHONY I JACKSON MSW, LCSW
NPI 1669722708
Social Worker - Clinical in Anaheim, CA

Active since September 17, 2012PECOS EnrolledAccepts Medicare Assignment
2390 E ORANGEWOOD AVE STE 300, ANAHEIM, CA 92806(714) 543-4333(714) 543-4398 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anthony I Jackson Msw, Lcsw NPPES

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

ANTHONY I JACKSON MSW, LCSW (NPI 1669722708) is an individual clinical provider in Anaheim, California, licensed in California (73831) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1669722708
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameANTHONY I JACKSONCredential: MSW, LCSW
Location Address2390 E ORANGEWOOD AVE STE 300Anaheim, CA 92806-6138
Mailing Address2390 E Orangewood Ave Ste 300Anaheim, CA 92806-6138 · (714) 543-4398 · Fax (714) 543-4398
Phone(714) 543-4333
Fax(714) 543-4398
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 17, 2012
Last NPPES UpdateMay 6, 2020
NPPES CertifiedMay 6, 2020
✔ NPI 1669722708 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 CA · 73831
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.
2390 E ORANGEWOOD AVE STE 300, Anaheim, CA 92806
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony I Jackson Msw, 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 ID1951753078
PECOS Enrollment IDI20240114000014
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 Anthony Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Harbor Community Clinic Inc
24 mi
Pediatrics
425 S PACIFIC AVE
San Pedro, CA 90731
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
NPI 1831739614 (310) 547-0202

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 92806 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 16

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

KARLA MARISSA CORRAL
Case Manager/Care Coordinator
2390 E ORANGEWOOD AVE STE 300
ANAHEIM, CA 92806
Orange County (714) 683-7671
SELENE GURBUZ BOYD MSW
Social Worker (Clinical)
2390 E ORANGEWOOD AVE STE 300
ANAHEIM, CA 92806
Orange County (714) 453-7480
MIRIAM SOSA
Case Manager/Care Coordinator
2390 E ORANGEWOOD AVE STE 300
ANAHEIM, CA 92806
Orange County (714) 683-7789
LINDA DELGADO
Counselor (Mental Health)
2390 E ORANGEWOOD AVE STE 300
ANAHEIM, CA 92806
Orange County (714) 683-7561
STEPHANIE TRAN
Case Manager/Care Coordinator
2390 E ORANGEWOOD AVE STE 300
ANAHEIM, CA 92806
Orange County (714) 543-4333
CELINE HOPE DE PERIO
Counselor (Mental Health)
2390 E ORANGEWOOD AVE STE 300
ANAHEIM, CA 92806
Orange County (715) 543-4333
HEIDI RENEE FERGUSON ASW
Social Worker (Clinical)
2390 E ORANGEWOOD AVE STE 300
ANAHEIM, CA 92806
Orange County (714) 543-4333
JUSTINA RYAN-BALDWIN
Case Manager/Care Coordinator
2390 E ORANGEWOOD AVE STE 300
ANAHEIM, CA 92806
Orange County (714) 955-6552

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 Anthony Jackson's NPI number?

The NPI number for Anthony Jackson is 1669722708. It was assigned to this individual provider in the NPPES registry on September 17, 2012.

Where is Anthony Jackson located?

Anthony Jackson practices at 2390 E Orangewood Ave Ste 300, Anaheim, CA 92806. The listed phone number is (714) 543-4333.

What is Anthony Jackson's specialty?

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

Is Anthony Jackson enrolled in Medicare?

Yes. Anthony Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Anthony Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Jackson reassigns Medicare benefits to Harbor Community Clinic Inc (San Pedro, CA). 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 Anthony 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 Anthony Jackson was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.