MS. KIMBERLY ERIN JACKSON-MASSARO MSW/LCSW
NPI 1699969188
Social Worker in Clovis, CA

Q: What is Kimberly Jackson-massaro's NPI number?

The NPI number for Kimberly Jackson-massaro is 1699969188. It was assigned to this individual provider in the NPPES registry on August 28, 2007. The provider is also known as Ms. Kimberly Erin Jackson.

Q: What is Kimberly Jackson-massaro's specialty?

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

Active since August 28, 2007PECOS Enrolled

3031 MORRIS AVE, CLOVIS, CA 93619(619) 578-9255 Get Directions Write a Review

NPPES record last updated: December 17, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Ms. Kimberly Erin Jackson-massaro Msw/lcsw NPPES

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

MS. KIMBERLY ERIN JACKSON-MASSARO MSW/LCSW (NPI 1699969188) is an individual social worker in Clovis, California and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699969188

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. KIMBERLY ERIN JACKSON-MASSAROCredential: MSW/LCSW

Location Address3031 MORRIS AVEClovis, CA 93619-6904

Mailing Address3625 1st Ave Apt 38San Diego, CA 92103-4033 · (619) 578-9255

Phone(619) 578-9255

Sole ProprietorNo

Enumeration DateAugust 28, 2007

Last NPPES UpdateDecember 17, 2022

NPPES CertifiedDecember 17, 2022

✔ NPI 1699969188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

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 ListedCounselor · Mental HealthTaxonomy 101YM0800X

3031 MORRIS AVE, Clovis, CA 93619

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Other Names 1

Former Name (1)Ms. Kimberly Erin Jackson

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kimberly Erin Jackson-massaro Msw/lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Kimberly Jackson-massaro's NPI number?

The NPI number for Kimberly Jackson-massaro is 1699969188. It was assigned to this individual provider in the NPPES registry on August 28, 2007. The provider is also known as Ms. Kimberly Erin Jackson.

Where is Kimberly Jackson-massaro located?

Kimberly Jackson-massaro practices at 3031 Morris Ave, Clovis, CA 93619. The listed phone number is (619) 578-9255.

What is Kimberly Jackson-massaro's specialty?

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

Is Kimberly Jackson-massaro enrolled in Medicare?

Yes. Kimberly Jackson-massaro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Jackson-massaro was last updated on December 17, 2022. 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.