Angel Heart Jackson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

17884 Issued in LA

Practice address

111 Medical Park Dr
Lafayette, LA 70508-4500

Phone

(337) 269-5000

Fax

(337) 269-5001

NPI assigned

Oct 15, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Compass Behavioral Center LLC

  • Psychiatric Hospital
  • Lafayette, LA
  • NPI 1902164619
  NPD (past)
• Compass Behavioral Center, LLC

  • Psychiatric Hospital
  • Crowley, LA
  • NPI 1174513394
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1245106228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MEDICAL PARK DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084500",
            "telephone_number": "337-269-5000",
            "fax_number": "337-269-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MEDICAL PARK DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084500",
            "telephone_number": "337-269-5000",
            "fax_number": "337-269-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ANGEL",
        "middle_name": "HEART",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "LA",
            "license": "17884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J & J RX Network LLC
• J & J RX Network LLC
• J Patrick Herrington MD LTD
• J. Provost LLC (a Professional Chiropractic Corporation)
• Lafonda M Jacko
• Avis Jackson
• Celeste Keys Jackson
• Jacob Lane Jackson, PT, DPT
• Jade Raven Jackson
• Jared Jackson

• Social Worker in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.