KIERAN L. JACKSON MSW
NPI 1821518226
Social Worker - Clinical in Warsaw, IN

Q: What is Kieran Jackson's NPI number?

The NPI number for Kieran Jackson is 1821518226. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Q: What is Kieran Jackson'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 Kieran Jackson was last updated on August 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 June 27, 2017PECOS Enrolled

850 N HARRISON ST, WARSAW, IN 46580(574) 267-7169(574) 269-3995 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 21, 2020, Jun 27, 2017 (2 updates tracked since 2017).

On this page

About Kieran L. Jackson Msw NPPES

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

KIERAN L. JACKSON MSW (NPI 1821518226) is an individual clinical provider in Warsaw, Indiana and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821518226

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameKIERAN L. JACKSONCredential: MSW

Location Address850 N HARRISON STWarsaw, IN 46580-3163

Mailing Address2621 E Jefferson StWarsaw, IN 46580-3880 · (574) 267-7169 · Fax (574) 269-4189

Phone(574) 267-7169

Fax(574) 269-3995

Sole ProprietorNo

Enumeration DateJune 27, 2017

Last NPPES UpdateAugust 21, 20202 updates tracked since enumeration

NPPES CertifiedAugust 21, 2020

✔ NPI 1821518226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedSocial WorkerTaxonomy 104100000X

850 N HARRISON ST, Warsaw, IN 46580

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kieran L. Jackson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46580 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 $53.07 – $161.76

Typical copayment $0.00 (range $13.26 – $40.44)

Most-billed visit code NA

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

AMY DIANE COPLEN MA

Counselor (Mental Health)