Individual provider Active NPI

Alexis Dionna Jackson, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1346907185
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904014698 Issued in VA
Practice address
501 N 2ND St
Richmond, VA 23219-1359
Phone
(804) 828-9452
Fax
(804) 828-9282
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NC
Doula 374J00000X VA
Clinical Social Worker 1041C0700X 0904014698 VA Primary

Addresses

Primary practice location

501 N 2ND St
Richmond, VA 23219-1359

Mailing address

PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844

Other practice location 1

115 E Broad St
Richmond, VA 23219-1791
Phone (502) 240-9342

Other practice location 2

1200 E Broad St
Richmond, VA 23298-5025
Phone (804) 828-9452

Other names 1

  • Alexis Dionna Perry-Jackson Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alexis@macspllc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230608000006 VA Practitioner - Clinical Social Worker 7012374986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

501 N 2ND St
Richmond, VA 23219-1359
Phone (804) 828-9452

Hospital & facility affiliations

  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904014698VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Apr 16, 2023 Accepting new patients
Virginia Commonwealth University Health System Authority PastSince Apr 16, 2023 Accepting new patients

Locations

1200 E Broad St
Richmond, VA 23298
Phone (804) 828-0970

501 N 2nd St
Richmond, VA 23219
Phone (804) 828-9452

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1346907185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780125",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780125",
            "telephone_number": "804-922-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N 2ND ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232191359",
            "telephone_number": "804-828-9452",
            "fax_number": "804-828-9282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232191791",
            "country_code": "US",
            "telephone_number": "502-240-9342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985025",
            "country_code": "US",
            "telephone_number": "804-828-9452",
            "fax_number": "804-828-9282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ALEXIS",
        "middle_name": "DIONNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexis@macspllc.org",
            "affiliation": "N",
            "address_1": "519 W John St",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281055352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "PERRY-JACKSON",
            "middle_name": "DIONNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.