Aquanatte Jackson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

5059 Hayes St
Gary, IN 46408-4355

Phone

(256) 797-1363

NPI assigned

Aug 11, 2011

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

Enrolled in NV, NC, GA, AL, TX, OR, IN, IL8 enrollments

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 8

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts, Master of Arts

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.

• Behavioral Health Solutions LLC

  • Community/Behavioral Health Agency
  • Henderson, NV
  • NPI 1548765258

  Clinical

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, GA, IL, IN, NC, OR, TX

  Medicare reassignment NPD
• Sondermind PC

  • Clinical Social Worker
  • San Jose, CA
  • NPI 1003646977

  IL, NC

  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  AL, GA, IN, NV, TX

  Medicare reassignment NPD
• Sondermind, P.a.

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1710647581

  OR

  Medicare reassignment NPD
• Compassion Community Care

  • Clinical Social Worker
  • Gary, IN
  • NPI 1245860576
  NPD Authorized official
• Behavioral Health Solutions LLC

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1902412802
  NPD
• Next Level Psychiatry Arizona PLLC

  • Psychiatry Physician
  • Tucson, AZ
  • NPI 1932703626
  NPD
• Unity Healthcare Alliance

  • Family Medicine Physician
  • Irving, TX
  • NPI 1326886771

  Clinical

  NPD
• Compassion Community Care Clinic

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1376189076
  NPD (past)
• Safe Harbor Medical, Inc.

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1821290115
  NPD (past)

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1508145244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5059 HAYES ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464084355",
            "telephone_number": "256-797-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5059 HAYES ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464084355",
            "telephone_number": "256-797-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "AQUANATTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-11",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asha L Ismael, CNA
• Kele Ivey, RN
• Anthony O Iwuagwu, M.D.
• Kiersten Jablonsky, RN
• Alexandria Nichelle Jackson, AGNP
• Beverly Jackson
• Deborah Jackson
• Jazmine Jackson
• Melanie Jackson
• Stephanie Jahoda

• Clinical Social Worker in Gary, IN
• Providers in Gary, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.