Active NPI
Jackson Stone, LCSW
- Clinical Social Worker
- Alexandria, VA
National Provider Identifier
1669046538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC200001787
- Practice address
- 2001 Mount Vernon Ave
Alexandria, VA 22301-1309 - Phone
- (703) 650-9195
- NPI assigned
- May 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 18961 | LA | |
| Clinical Social Worker | 1041C0700X | LC200001787 | DC | Primary |
| Clinical Social Worker | 1041C0700X | 149030424 | IL | |
| Clinical Social Worker | 1041C0700X | 0904014798 | VA | |
| Clinical Social Worker | 1041C0700X | 137308 | CA |
Addresses
Primary practice location
2001 Mount Vernon Ave
Alexandria, VA 22301-1309
Mailing address
108 W 99TH St
Chicago, IL 60628-1326
Phone (773) 230-0619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10602 Southwest Hwy
Chicago Ridge, IL 60415-1429
Phone (708) 448-1540
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904014798 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Post Acute Care PLLC | Clinical | Current | Accepting new patients |
Locations
2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437
10602 Southwest Hwy
Chicago Ridge, IL 60415
Phone (708) 448-1540
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1669046538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 W 99TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606281326",
"telephone_number": "773-230-0619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 MOUNT VERNON AVE",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223011309",
"telephone_number": "703-650-9195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "JACKSON",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-16",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "18961",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC200001787",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149030424",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904014798",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "137308",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.