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KAREN ANN JACKA
NPI 1790908788
Social Worker - Clinical in Lodi, CA

Active since April 10, 2007PECOS Enrolled
404 W PINE ST STE 1, LODI, CA 95240(209) 483-6474(209) 367-4696 Get Directions Write a Review

NPPES record last updated: August 27, 2018. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Karen Ann Jacka NPPES

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

KAREN ANN JACKA (NPI 1790908788) is an individual clinical provider in Lodi, California, licensed in California (LCS16470) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lodi.

NPPES Registry Identity

NPI1790908788
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAREN ANN JACKA
Location Address404 W PINE ST STE 1Lodi, CA 95240
Mailing Address21 S California StLodi, CA 95240-1907 · (209) 483-6474 · Fax (209) 367-4696
Phone(209) 483-6474
Fax(209) 367-4696
Sole ProprietorYes
Enumeration DateApril 10, 2007
Last NPPES UpdateAugust 27, 2018
✔ NPI 1790908788 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 CA · LCS16470
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.
404 W PINE ST STE 1, Lodi, CA 95240
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Secondary Practice Location 1

Location 11300 W Lodi Ave, Suite A-5Lodi, CA 95242-3000 · Phone (209) 483-6474 · Fax (209) 333-0824

Other Identifiers 4

Other3810106CA · Provider # Aetna
Other48809CA · Privider Number Mhn
Other62-79934CA · Prov. No.united Health Ca
OtherA881670CA · Value Opitions Vendor Num

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Ann Jacka 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 95240 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 $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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

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

TANYA ROBERTS
Social Worker (Clinical)
404 W PINE ST STE 1
LODI, CA 95240
San Joaquin County (209) 401-2134

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 Karen Jacka's NPI number?

The NPI number for Karen Jacka is 1790908788. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Karen Jacka located?

Karen Jacka practices at 404 W Pine St Ste 1, Lodi, CA 95240. The listed phone number is (209) 483-6474.

What is Karen Jacka's specialty?

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

Is Karen Jacka enrolled in Medicare?

Yes. Karen Jacka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Karen Jacka was last updated on August 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.