1. Home
  2. Directory
  3. Virginia
  4. Richmond
  5. Social Worker
  6. NPI Profile

KATHRYN JACKSON LCSW
NPI 1780880963
Social Worker - Clinical in Richmond, VA

Active since June 25, 2007PECOS Enrolled
1520 W MAIN ST STE 202, RICHMOND, VA 23220(804) 833-8747 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2025, Jul 12, 2024 (2 updates tracked since 2024).

About Kathryn Jackson Lcsw NPPES

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

KATHRYN JACKSON LCSW (NPI 1780880963) is an individual clinical provider in Richmond, Virginia and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780880963
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHRYN JACKSONCredential: LCSW
Location Address1520 W MAIN ST STE 202Richmond, VA 23220-4687
Mailing Address1520 W Main St Ste 202Richmond, VA 23220-4687 · (804) 592-6123
Phone(804) 833-8747
Sole ProprietorNo
Enumeration DateJune 25, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1780880963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.

Other Names 1

Other Name (5)Kate Anne Jackson

Secondary Practice Locations 2

Location 12550 Professional RdNorth Chesterfield, VA 23235-3214 · Phone (804) 592-6311
Location 21900 Byrd AveRichmond, VA 23230-3033 · Phone (804) 592-6311

Other Identifiers 1

Medicaid004945182VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Jackson 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 Kathryn Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,424 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 23220 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 $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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 Kathryn Jackson's NPI number?

The NPI number for Kathryn Jackson is 1780880963. It was assigned to this individual provider in the NPPES registry on June 25, 2007. The provider is also known as Kate Anne Jackson.

Where is Kathryn Jackson located?

Kathryn Jackson practices at 1520 W Main St Ste 202, Richmond, VA 23220. The listed phone number is (804) 833-8747.

What is Kathryn Jackson's specialty?

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

Is Kathryn Jackson enrolled in Medicare?

Yes. Kathryn Jackson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathryn Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Jackson reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Kathryn 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 Kathryn Jackson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.