Natalia Ocokoljich Jackson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

33072 Issued in TX

Practice address

7212 Joliet Ave
Suite 10
Lubbock, TX 79423-1137

Phone

(806) 791-2829

Fax

(806) 791-3744

NPI assigned

Jul 4, 2006

Last updated

Dec 6, 2016By the provider in NPPES

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

Other identifiers 2

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Service Assn of Lubbock, Texas, Inc.

  • Clinical Social Worker
  • Lubbock, TX
  • NPI 1659541308
  NPD (past)
• Lubbock Noble Care Solutions PLLC

  • Clinical Social Worker
  • Lubbock, TX
  • NPI 1265984157
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1902836877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 JOLIET AVE",
            "address_2": "SUITE 10",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231137",
            "telephone_number": "806-791-2829",
            "fax_number": "806-791-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 JOLIET AVE",
            "address_2": "SUITE 10",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231137",
            "telephone_number": "806-791-2829",
            "fax_number": "806-791-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "NATALIA",
        "middle_name": "OCOKOLJICH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "33072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153798701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "87314Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Jackson, COTA/L
• Haylee Shayne Jackson, MS, SLP CF-INTERN
• John Phillip Jackson, OTR
• Kevin Jackson
• McKaley Jackson, LPC
• Richard Jackson, MD
• Shelton Ray Jackson, MD
• Tandrea Jackson, FNP
• Traci Louise Jackson, MS, RDN
• Roy G Jacob, MD

• Clinical Social Worker in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.