Mercedes Jackman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

227894 Issued in MA

Practice address

209 W Central St Ste 202
Natick, MA 01760-3716

Phone

(617) 844-4619

NPI assigned

Mar 30, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shine Therapy and Coaching LLCGroup PAC ID 1254858996, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shine Therapy and Coaching LLC

  • Clinical Social Worker
  • Natick, MA
  • NPI 1548028038
  Medicare reassignment Care Compare group NPD
• Children'S Services of Roxbury

  • Mental Health Counselor
  • Roxbury, MA
  • NPI 1669107678
  NPD (past)

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1396485389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 N MAIN ST # 2223",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W CENTRAL ST STE 202",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603716",
            "telephone_number": "617-844-4619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Lincoln St Ste 2400",
            "address_purpose": "LOCATION",
            "city": "Hingham",
            "state": "MA",
            "postal_code": "020431579",
            "country_code": "US",
            "telephone_number": "617-446-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKMAN",
        "first_name": "MERCEDES",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "227894",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Iovanna, FNP-BC
• Isabel Irizarry
• Odean Irons
• Maurin Islam, DMD
• Yvonne Marie Ivanov, RPT
• Kathleen Jackson, NP
• Kelly A Jackson, DC
• Ladonna Rejean Jackson, PMHNP-BC
• Steven Jac Todd Jackson, PHD, RD
• Walter L Jackson

• Clinical Social Worker in Natick, MA
• Providers in Natick, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.