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MATTHEW JACKSON LMSW
NPI 1922651041
Social Worker in Kalamazoo, MI

Active since July 17, 2019PECOS Enrolled
4341 S WESTNEDGE AVE, KALAMAZOO, MI 49008(269) 241-3772 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 18, 2023, Jul 19, 2022, Dec 8, 2020 and 1 more (4 updates tracked since 2019).

About Matthew Jackson Lmsw NPPES

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

MATTHEW JACKSON LMSW (NPI 1922651041) is an individual social worker in Kalamazoo, Michigan, licensed in Michigan (6801117121) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922651041
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMATTHEW JACKSONCredential: LMSW
Location Address4341 S WESTNEDGE AVEKalamazoo, MI 49008-3289
Mailing Address1820 Pleasant DrPortage, MI 49002-5604 · (269) 205-8317
Phone(269) 241-3772
Sole ProprietorNo
Enumeration DateJuly 17, 2019
Last NPPES UpdateSeptember 29, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
✔ NPI 1922651041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Licenses✔ Licensed in MI · 6801117121✔ Licensed in MI · 6801101413
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6801117121 (MI)
4341 S WESTNEDGE AVE, Kalamazoo, MI 49008
Open in Google Maps ↗

Other Identifiers 1

Other6801117121MI · Lara

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company 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)

Matthew Jackson Lmsw 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 Reassignments

2

Medicare enrollment records show Matthew Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Mental Health Services Of St Joseph County
23 mi
Community/Behavioral Health
677 E MAIN ST STE A
Centreville, MI 49032
  • Reassigned Medicare billing, Michigan enrollment
  • 38 clinicians in this Medicare group
NPI 1366438483 (269) 467-1000
Richard Kneip, Ph.D., P.C.
118 mi
Community/Behavioral Health
6548 TOWN CENTER DR STE D
Clarkston, MI 48346
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Richard Kneip Phd PC
  • 347 clinicians in this Medicare group
NPI 1679739700 (800) 693-1916

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

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

MAXIM HEALTHCARE SERVICES, INC.
Home Health
4341 S WESTNEDGE AVE, SUITE 1201
KALAMAZOO, MI 49008
Kalamazoo County (410) 910-1500
MS. DARLINE HALEY
Social Worker (Clinical)
4341 S WESTNEDGE AVE, #20101
KALAMAZOO, MI 49008
Kalamazoo County (269) 823-8859
MR. HECTOR RODRIGUEZ M.A., LLPC
Counselor (Mental Health)
4341 S WESTNEDGE AVE, SUITE 2109
KALAMAZOO, MI 49008
Kalamazoo County (269) 341-9300
TRINA WEBER, MS, RD, LLC
Clinic/Center
4341 S WESTNEDGE AVE, SUITE 2106
KALAMAZOO, MI 49008
Kalamazoo County (269) 873-9108
LOREN L RUSSCHER MD
Internal Medicine
4341 S WESTNEDGE AVE, SUITE 2103
KALAMAZOO, MI 49008
Kalamazoo County (269) 343-5600
EDUCATIONAL & DEVELOPMENTAL CONSULTING
Community/Behavioral Health
4341 S WESTNEDGE AVE, #2101
KALAMAZOO, MI 49008
Kalamazoo County (269) 384-2270
SCOTT BARON PHD, MSW
Social Worker (Clinical)
4341 S WESTNEDGE AVE
KALAMAZOO, MI 49008
Kalamazoo County (268) 544-2460
LOREN L RUSSCHER MD
Internal Medicine
4341 S WESTNEDGE AVE, SUITE 2103
KALAMAZOO, MI 49008
Kalamazoo County (269) 343-5600

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 Matthew Jackson's NPI number?

The NPI number for Matthew Jackson is 1922651041. It was assigned to this individual provider in the NPPES registry on July 17, 2019.

Where is Matthew Jackson located?

Matthew Jackson practices at 4341 S Westnedge Ave, Kalamazoo, MI 49008. The listed phone number is (269) 241-3772.

What is Matthew Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Matthew Jackson enrolled in Medicare?

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

Which organizations bill Medicare for Matthew Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Jackson reassigns Medicare benefits to 2 organizations: Community Mental Health Services Of St Joseph County (Centreville, MI) and Richard Kneip, Ph.D., P.C. (Clarkston, MI). Each 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 Matthew Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Jackson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Matthew 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 Matthew Jackson was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.