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MARCUS KIRK JACKSON LCSW
NPI 1902964240
Social Worker - Clinical in Bridgeport, CT

Active since December 05, 2006PECOS Enrolled
1635 CENTRAL AVENUE, SOUTHWEST CONNECTICUT MENTAL HEALTH SYSTEM, BRIDGEPORT, CT 06610(203) 551-7660(203) 551-7481 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marcus Kirk Jackson Lcsw NPPES

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

MARCUS KIRK JACKSON LCSW (NPI 1902964240) is an individual clinical provider in Bridgeport, Connecticut, licensed in Connecticut (005455) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902964240
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMARCUS KIRK JACKSONCredential: LCSW
Location Address1635 CENTRAL AVENUE, SOUTHWEST CONNECTICUT MENTAL HEALTH SYSTEMBridgeport, CT 06610
Mailing Address1635 Central Avenue, Room 213 Attn Sandra GrazynskiBridgeport, CT 06610 · (203) 551-7660 · Fax (203) 551-7481
Phone(203) 551-7660
Fax(203) 551-7481
Sole ProprietorNo
Enumeration DateDecember 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902964240 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 CT · 005455
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.
1635 CENTRAL AVENUE, Bridgeport, CT 06610
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

Marcus Kirk 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06610 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

MS. CHRISTEN A RICHARD LCSW
Social Worker (Clinical)
1635 CENTRAL AVENUE, SOUTHWEST CT MENTAL HEALTH SYSTEM
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 551-7660
MS. SUSAN M BARRIEAU LCSW MSW
Social Worker (Clinical)
1635 CENTRAL AVENUE, SOUTHWEST CONNECTICUT MENTAL HEALTH SYSTEM
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 551-7660
DR. ANTHONY LOUIS LABRUZZA MD
Psychiatry & Neurology (Psychiatry)
1635 CENTRAL AVENUE, SOUTHWEST CONNECTICUT MENTAL HEALTH SYSTEM
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 551-7660
MRS. MARION R HINZE LCSW LAPC
Social Worker (Clinical)
1635 CENTRAL AVENUE, SOUTHWEST CT MENTAL HEALTH SYSTEM
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 551-7660
DR. LINDA LIEFLAND PHD
Psychologist (Clinical)
1635 CENTRAL AVENUE, SOUTHWEST CONNECTICUT MENTAL HEALTH SYSTEM
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 551-7660
DR. SUNDAR RAMASWAMI PHD
Psychologist (Clinical)
1635 CENTRAL AVENUE, SOUTHWEST CONNECTICUT MENTAL HEALTH SYSTEM
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 551-7660
MR. LESLIE DAVID KURIAN MD
Psychiatry & Neurology (Psychiatry)
1635 CENTRAL AVENUE, SOUTHWEST CT MENTAL HEALTH SYSTEM
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 551-7660
MS. KATHLEEN REGINA PRECE LCSW
Social Worker (Clinical)
1635 CENTRAL AVENUE, SOUTHWEST CONNECTICUT MENTAL HEALTH SYSTEM
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 551-7660

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 Marcus Jackson's NPI number?

The NPI number for Marcus Jackson is 1902964240. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Marcus Jackson located?

Marcus Jackson practices at 1635 Central Avenue Southwest Connecticut Mental Health System, Bridgeport, CT 06610. The listed phone number is (203) 551-7660.

What is Marcus Jackson's specialty?

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

Is Marcus Jackson enrolled in Medicare?

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

What insurance does Marcus Jackson accept?

Health plans from Providence Health Plan list Marcus 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 Marcus Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.