Donald Jefferson Jackson, MSW LCSW LCAS-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007538 Issued in NC

Practice address

434 Atkinson St
Laurinburg, NC 28352-3714

Phone

(910) 506-2008

Fax

(910) 506-2010

NPI assigned

Nov 30, 2011

Last updated

Mar 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Jeff Jackson Other name

Medicare fee-for-service enrollment

Enrolled in NC

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, 2006

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

Locations

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.

• Greater Image Healthcare, Corp

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1255574034
  Medicare reassignment NPD
• New Direction Youth and Family Services, Inc.

  • Mental Health Counselor
  • Angier, NC
  • NPI 1831524453

  Clinical

  Medicare reassignment NPD
• Act Medical Group PA

  • Specialist
  • Wilmington, NC
  • NPI 1245219799
  NPD (past)

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1942577200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 ATKINSON ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283523714",
            "telephone_number": "910-506-2008",
            "fax_number": "910-506-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 ATKINSON ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283523714",
            "telephone_number": "910-506-2008",
            "fax_number": "910-506-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DONALD",
        "middle_name": "JEFFERSON",
        "name_prefix": "Mr.",
        "credential": "MSW LCSW LCAS-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-30",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFF",
            "last_name": "JACKSON",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Integrity Publishing and Consulting (Integrity)
• Muhammad Jawad Iqbal, MD
• J & S Care Inc.
• J & S Care Inc.
• Charles E Jackson, PT
• Jonathan Wesley Jackson, CRNA
• Rachel Renee Jackson, CRNA, BSN, RN
• Amanda Collins Jacobs, FNP
• Marsha G Jacobs, RCS, RVS
• Jeffrey a. Moore, Inc

• Clinical Social Worker in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.