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Mark Henry Jackson , LCSW

Social Worker - Clinical β€’ Clovis, CA

Active NPI 1487976387 Individual Practitioner Male Practitioner
Practice location in NPPES

3097 Willow Ave Ste 9
Clovis, CA 936124715

Call 5592580545 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3097 Willow Ave Ste 9

Clovis, CA 936124715

Telephone 5592580545
Fax 5598200211

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Mark Jackson as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Clovis and California

48 active clinicians are listed under Social Worker - Clinical with a practice address in Clovis, CA (36,290 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clovis

6.2% of these 48 clinicians have the CMS telehealth indicator.

12.5% of these 48 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-06-28
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES CA 60523

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location June 03, 2024

Registered at 3097 WILLOW AVE STE 9, CLOVIS, CA 936124715 (Tel: 5592580545)

πŸ“
Updated Business Mailing Address June 03, 2024

Registered at 3097 WILLOW AVE STE 9, CLOVIS, CA 936124715 (Tel: 5592580545)

πŸ“
Updated Practice Location August 31, 2023

Registered at 7575 N CEDAR AVE STE 102, FRESNO, CA 937202693 (Tel: 5592033775)

πŸ“
Updated Business Mailing Address August 31, 2023

Registered at 7575 N CEDAR AVE STE 102, FRESNO, CA 937202693 (Tel: 5592033775)

πŸ‘€
Provider Name / Credentials Updated August 31, 2023

Recorded as MARK JACKSON, LCSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2023

Social Worker (license number reported to NPPES: CA 60523)

βœ…
NPI Profile Active January 17, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 17, 2014

Registered at 2031 E DIVISADERO ST, FRESNO, CA 937012013 (Tel: 5594575960)

πŸ“
Business Mailing Address (Initial Record) January 17, 2014

Registered at 2031 E DIVISADERO ST, FRESNO, CA 937012013 (Tel: 5594575960)

πŸ‘€
Provider Name / Credentials (Initial Record) January 17, 2014

Recorded as MARK JACKSON, LCSW, M-RAS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2014

Counselor (license number reported to NPPES: CA J1011051440)

🟒
Initial NPI Registration & Enumeration February 18, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1487976387
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2010
Last Update: June 28, 2024
Sole Proprietor: Yes

Other Social Worker - Clinicals in Clovis

Healthcare providers in Clovis

Mailing Address

3097 Willow Ave Ste 9

Clovis, CA 936124715

Phone: 5592580545

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.