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DOMINIQUE JACKSON LCSW
NPI 1891382339
Social Worker - Clinical in Valparaiso, IN

Active since December 30, 2020PECOS Enrolled
2106 MORTHLAND DR UNIT 1086, VALPARAISO, IN 46383(219) 508-5646 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2025, Jan 11, 2023, Jul 19, 2022 and 1 more (4 updates tracked since 2020).

About Dominique Jackson Lcsw NPPES

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

DOMINIQUE JACKSON LCSW (NPI 1891382339) is an individual clinical provider in Valparaiso, Indiana, licensed in Indiana (34009080A) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891382339
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDOMINIQUE JACKSONCredential: LCSW
Location Address2106 MORTHLAND DR UNIT 1086Valparaiso, IN 46383-5914
Mailing Address3009 Winter Garden DrValparaiso, IN 46385-7140 · (219) 613-7872
Phone(219) 508-5646
Sole ProprietorNo
Enumeration DateDecember 30, 2020
Last NPPES UpdateFebruary 25, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2026
✔ NPI 1891382339 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
Licenses✔ Licensed in IN · 34009080A✔ Licensed in IL · 149.028567
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 · License 34009080A (IN)
2106 MORTHLAND DR UNIT 1086, Valparaiso, IN 46383
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Other Names 1

Former Name (1)Dominique Jackson Pittman

Other Identifiers 2

Other1891382339IN · Npi
Medicaid300049653IN

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Hamilton Center, Inc.
138 mi
Community/Behavioral Health
620 8TH AVE
Terre Haute, IN 47804
  • Reassigned Medicare billing, Indiana enrollment
  • 85 clinicians in this Medicare group
NPI 1205980901 (812) 231-8323

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 46383 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.

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 Dominique Jackson's NPI number?

The NPI number for Dominique Jackson is 1891382339. It was assigned to this individual provider in the NPPES registry on December 30, 2020. The provider is also known as Dominique Jackson Pittman.

Where is Dominique Jackson located?

Dominique Jackson practices at 2106 Morthland Dr Unit 1086, Valparaiso, IN 46383. The listed phone number is (219) 508-5646.

What is Dominique Jackson's specialty?

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

Is Dominique Jackson enrolled in Medicare?

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

Which organization bills Medicare for Dominique Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Jackson reassigns Medicare benefits to Hamilton Center, Inc. (Terre Haute, IN). 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 Dominique Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dominique Jackson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Dominique 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 Dominique Jackson was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.