Robin Michelle Jackson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6536-C Issued in AR

Practice address

15 Pamela LN
Sherwood, AR 72120-2645

Phone

(501) 944-4660

NPI assigned

Aug 17, 2010

Last updated

Feb 3, 2025By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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, 2012

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Growing Hope Counseling, PLLCGroup PAC ID 1052675162, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Blue Serenity Therapy LLC

  • Mental Health Counselor
  • Sherwood, AR
  • NPI 1649081332
  Medicare reassignment NPD Authorized official
• Growing Hope Counseling PLLC

  • Community/Behavioral Health Agency
  • Cabot, AR
  • NPI 1922499557
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1912212705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PAMELA LN",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721202645",
            "telephone_number": "501-944-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PAMELA LN",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721202645",
            "telephone_number": "501-944-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ROBIN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "6536-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6536-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191705795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Izquierdo
• Brea Alysse Jackson, BT
• Chelsea Lynn Jackson
• Christie Lynn Jackson, OTR
• Mindy Jackson
• Sydney Alexandria Jackson
• Emma Elizabeth Jameson
• Leisye Elizabeth Jamison
• Jana Barfield DMD PLLC (Central Arkansas Pediatric Dentistry)
• Jordan Janssen

• Clinical Social Worker in Sherwood, AR
• Providers in Sherwood, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.