CORA DENISE JACKSON DSW, LCSW, ACSW
NPI 1689488876
Social Worker - Clinical in Vicksburg, MS
About Cora Denise Jackson Dsw, Lcsw, Acsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORA DENISE JACKSON DSW, LCSW, ACSW (NPI 1689488876) is an individual clinical provider in Vicksburg, Mississippi, licensed in Mississippi (C-11310) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cora Denise Jackson Dsw, Lcsw, Acsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VICKSBURG, MS 39180
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 Cora Jackson's NPI number?
The NPI number for Cora Jackson is 1689488876. It was assigned to this individual provider in the NPPES registry on February 6, 2025.
Where is Cora Jackson located?
Cora Jackson practices at 1911 Mission 66 Ste B, Vicksburg, MS 39180. The listed phone number is (601) 456-2598.
What is Cora Jackson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Cora Jackson enrolled in Medicare?
Yes. Cora Jackson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Cora Jackson was last updated on February 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
