Individual provider Active NPI

Ave Sheri Maria Jackson, LCSW-S

  • Clinical Social Worker
  • Bellaire, TX
National Provider Identifier
1861154742
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58820 Issued in TX
Practice address
6500 West Loop S Ste 200B
Bellaire, TX 77401-3535
Phone
(713) 486-2900
NPI assigned
Oct 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 58820 TX Primary

Addresses

Primary practice location

6500 West Loop S Ste 200B
Bellaire, TX 77401-3535

Mailing address

5233 Bellaire Blvd Ste 119
Bellaire, TX 77401-3901
Phone (832) 617-3826

Other practice location 1

5233 Bellaire Blvd Ste 119
Bellaire, TX 77401-3901
Phone (832) 617-3826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220928001514 TX Practitioner - Clinical Social Worker 8921484908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

1200 Binz St
Suite 730
Houston, TX 77004-6933
Phone (713) 526-6161

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58820TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Ut Physicians CurrentSince Jun 17, 2022 Accepting new patients
Ut Physicians CurrentSince Jun 17, 2022 Accepting new patients

Locations

6500 West Loop S
Ste 200B
Bellaire, TX 77401
Phone (713) 486-2900

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

1200 Binz St
Ste 730
Houston, TX 77004
Phone (713) 486-3883

Interoperability endpoints

  • Direct secure messaging: avejackson@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1861154742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 BELLAIRE BLVD STE 119",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013901",
            "telephone_number": "832-617-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 WEST LOOP S STE 200B",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013535",
            "telephone_number": "713-486-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5233 Bellaire Blvd Ste 119",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774013901",
            "country_code": "US",
            "telephone_number": "832-617-3826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "AVE",
        "middle_name": "SHERI MARIA",
        "credential": "LCSW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.