Lacey H Jackson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7363 Issued in TN

Practice address

2723 New Salem Hwy
Murfreesboro, TN 37128-5253

Phone

(615) 396-6850

NPI assigned

Jun 26, 2007

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 TN

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Lacey Jackson PLLC

  • Clinical Social Worker
  • Murfreesboro, TN
  • NPI 1285302851
  Medicare reassignment NPD Authorized official
• Saint Thomas Medical Partners

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1437194669
  Medicare reassignment NPD

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1710183686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9247 NEW ZION RD",
            "city": "CHRISTIANA",
            "state": "TN",
            "postal_code": "370375206",
            "telephone_number": "931-273-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 NEW SALEM HWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285253",
            "telephone_number": "615-396-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LACEY",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Jackson, LPC-MHSP
• Elizabeth Galland Jackson, M.D.
• Jeffrey Brett Jackson, PHARMD,BSPHARMSCI,BS
• Joseph Jackson, DC
• Kelly Amanda Jackson, APRN
• Madison Jackson, RBT
• Marilyn Moran Jackson, DC
• Morgan F Jackson, MD
• Myrvienne Jackson, FNP
• Paul A Jackson, M.D.

• Clinical Social Worker in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.