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MR. JACARI DA VON JACKSON
NPI 1790277648
Social Worker - Clinical in Los Angeles, CA

Active since June 05, 2018PECOS Enrolled
14003 EADALL AVE, LOS ANGELES, CA 90061(424) 250-8272 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2024, Jul 16, 2019 (2 updates tracked since 2019).

About Mr. Jacari Da Von Jackson NPPES

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

MR. JACARI DA VON JACKSON (NPI 1790277648) is an individual clinical provider in Los Angeles, California, licensed in California (LCSW121520) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790277648
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JACARI DA VON JACKSON
Location Address14003 EADALL AVELos Angeles, CA 90061-2143
Mailing Address14003 Eadall AveLos Angeles, CA 90061-2143 · (310) 409-3118
Phone(424) 250-8272
Sole ProprietorNo
Enumeration DateJune 5, 2018
Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1790277648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW121520
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License ASW89841 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
14003 EADALL AVE, Los Angeles, CA 90061
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jacari Da Von Jackson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90061 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 Jacari Jackson's NPI number?

The NPI number for Jacari Jackson is 1790277648. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Where is Jacari Jackson located?

Jacari Jackson practices at 14003 Eadall Ave, Los Angeles, CA 90061. The listed phone number is (424) 250-8272.

What is Jacari Jackson's specialty?

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

Is Jacari Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacari Jackson was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.