MRS. JACKIE SUZANNE DAY LCSW
NPI 1720312416
Social Worker - Clinical in Gravette, AR

Q: What is Jackie Day's NPI number?

The NPI number for Jackie Day is 1720312416. It was assigned to this individual provider in the NPPES registry on September 28, 2009. The provider is also known as Mrs. Jackie Suzanne Keisker.

Q: What is Jackie Day's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jackie Day was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 28, 2009PECOS Enrolled

1101 JACKSON ST SW, GRAVETTE, AR 72736(479) 787-5221(479) 787-5613 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 13, 2024, Jun 18, 2024 (2 updates tracked since 2024).

On this page

About Mrs. Jackie Suzanne Day Lcsw NPPES

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

MRS. JACKIE SUZANNE DAY LCSW (NPI 1720312416) is an individual clinical provider in Gravette, Arkansas, licensed in Arkansas (3995-C) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bryant.

NPPES Registry Identity

NPI1720312416

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. JACKIE SUZANNE DAYCredential: LCSW

Location Address1101 JACKSON ST SWGravette, AR 72736-9121

Mailing Address1101 Jackson St SwGravette, AR 72736-9121 · (479) 787-5221 · Fax (479) 787-5613

Phone(479) 787-5221

Fax(479) 787-5613

Sole ProprietorYes

Enumeration DateSeptember 28, 2009

Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration

NPPES CertifiedAugust 13, 2024

✔ NPI 1720312416 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 AR · 3995-C

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.

1101 JACKSON ST SW, Gravette, AR 72736

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Other Names 1

Former Name (1)Mrs. Jackie Suzanne Keisker

Secondary Practice Location 1

Location 1205 SE 3rd StBryant, AR 72022-4033 · Phone (501) 416-2017

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jackie Suzanne Day 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.

Medicare Billing Reassignment

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

Sgoh Acquisition Inc

Same address

Critical Access

1101 JACKSON ST SW
Gravette, AR 72736

Reassigned Medicare billing, Arkansas enrollment
39 clinicians in this Medicare group

NPI 1568643005 (479) 787-5291

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 72736 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 $51.36 – $157.74

Typical copayment $0.00 (range $12.84 – $39.43)

Most-billed visit code NA

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

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 20

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

DR. DAVID JOHN TUCKER MD

Family Medicine