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MIRISSA JACKSON
NPI 1831757905
Social Worker - Clinical in Cantonment, FL

Active since June 03, 2019PECOS Enrolled
3771 STEFANI RD, CANTONMENT, FL 32533(850) 607-6910(850) 607-6932 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2025, Jun 3, 2019 (2 updates tracked since 2019).

About Mirissa Jackson NPPES

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

MIRISSA JACKSON (NPI 1831757905) is an individual clinical provider in Cantonment, Florida, licensed in Maryland (25215) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831757905
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMIRISSA JACKSON
Location Address3771 STEFANI RDCantonment, FL 32533-7795
Mailing Address3771 Stefani RdCantonment, FL 32533-7795 · (850) 607-6910 · Fax (850) 607-6932
Phone(850) 607-6910
Fax(850) 607-6932
Sole ProprietorNo
Enumeration DateJune 3, 2019
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1831757905 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 MD · 25215
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.
3771 STEFANI RD, Cantonment, FL 32533
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.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)

Mirissa 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 32533 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 $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

VICTORIA VALLIANT RBT
Behavior Technician
3771 STEFANI RD
CANTONMENT, FL 32533
Escambia County (850) 607-6910
MOLLY BRUSTAD BCBA, LMSW
Behavior Analyst
3771 STEFANI RD
CANTONMENT, FL 32533
Escambia County (850) 607-6910
ASHLEY BEATY-PERRY
Behavior Technician
3771 STEFANI RD
CANTONMENT, FL 32533
Escambia County (850) 607-6910
KELSEY MYERS
Behavior Technician
3771 STEFANI RD
CANTONMENT, FL 32533
Escambia County (850) 607-6910
JAYME RHEA SNEAD
Behavior Technician
3771 STEFANI RD
CANTONMENT, FL 32533
Escambia County (850) 607-6910
ANNAGRACE LANE
Behavior Technician
3771 STEFANI RD
CANTONMENT, FL 32533
Escambia County (850) 607-6910
TAYLOR DETHEROW
Behavior Analyst
3771 STEFANI RD
CANTONMENT, FL 32533
Escambia County (850) 607-6910
PERLIE CROWELL
Behavior Technician
3771 STEFANI RD
CANTONMENT, FL 32533
Escambia County (850) 607-6910

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 Mirissa Jackson's NPI number?

The NPI number for Mirissa Jackson is 1831757905. It was assigned to this individual provider in the NPPES registry on June 3, 2019.

Where is Mirissa Jackson located?

Mirissa Jackson practices at 3771 Stefani Rd, Cantonment, FL 32533. The listed phone number is (850) 607-6910.

What is Mirissa Jackson's specialty?

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

Is Mirissa Jackson enrolled in Medicare?

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

What insurance does Mirissa Jackson accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Mirissa Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mirissa Jackson was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.