Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACKSON PATTERSON MSW
NPI 1710403787
Social Worker in Indianapolis, IN

Q: What is Jackson Patterson's NPI number?

The NPI number for Jackson Patterson is 1710403787. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Q: What is Jackson Patterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jackson Patterson was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.

Active since August 21, 2017PECOS Enrolled

5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241(888) 714-1927(317) 247-8935 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 18, 2026, Jul 21, 2022, Aug 21, 2017 (3 updates tracked since 2017).

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About Jackson Patterson Msw NPPES

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

JACKSON PATTERSON MSW (NPI 1710403787) is an individual social worker in Indianapolis, Indiana and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1710403787

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameJACKSON PATTERSONCredential: MSW

Location Address5638 PROFESSIONAL CIRIndianapolis, IN 46241-5042

Mailing Address5638 Professional CirIndianapolis, IN 46241-5042 · (888) 714-1927 · Fax (317) 247-8935

Phone(888) 714-1927

Fax(317) 247-8935

Sole ProprietorNo

Enumeration DateAugust 21, 2017

Last NPPES UpdateSeptember 18, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2026

✔ NPI 1710403787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

5638 PROFESSIONAL CIR, Indianapolis, IN 46241

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Secondary Practice Location 1

Location 18401 Harcourt RdIndianapolis, IN 46260-2036 · Phone (317) 338-4600 · Fax (317) 338-4750

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Patterson Msw 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.

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.

MARLENE J VILLECCO MS, LCAC

Counselor (Addiction (Substance Use Disorder))